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Diane H Menier, RPAC

Physician Assistant, Medical in West Islip, NY. Individual provider (NPI-1).

NPI number1104089705
StatusActive
Last updated in NPPESFeb 26, 2021

Details

NPI
1104089705
Entity type
Individual (NPI-1)
Name
Ms. Diane H Menier
Credential
RPAC
Sex
Female
Sole proprietor
No
Enumeration date
Jul 3, 2008
Certification date
Feb 26, 2021
Last updated
Feb 26, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical004965NYYes

Practice location

435 Montauk Hwy
South Bay Hematology/ Oncology PC
West Islip, NY 11754

Phone 631-422-4545

Mailing address

435 Montauk Hwy
South Bay Hematology/ Oncology PC
West Islip, NY 11754

Phone 631-422-4545

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Medical Physician Assistant providers in West Islip, NY

All 16 Medical Physician Assistant providers in West Islip · All 1,338 providers in West Islip

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