Provider Demographics
NPI:1215971403
Name:MENIS, STUART J (DC)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:J
Last Name:MENIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 KIMBERLY CT
Mailing Address - Street 2:
Mailing Address - City:MANORVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11949-2627
Mailing Address - Country:US
Mailing Address - Phone:631-325-8771
Mailing Address - Fax:
Practice Address - Street 1:TOUCH OF LIFE CHIROPRACTIC EAST
Practice Address - Street 2:130 MONTAUK HWY SUITE F
Practice Address - City:EAST MORICHES
Practice Address - State:NY
Practice Address - Zip Code:11940
Practice Address - Country:US
Practice Address - Phone:631-874-2797
Practice Address - Fax:631-874-9387
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007341111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX70321Medicare ID - Type UnspecifiedINDIVIDUAL NUMBER
NYXFW531Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER