Most Relevant Information
Provider Data
| NPI Number: | 1003223835 |
| Provider Name: | MENA YACOUB D.O |
| Entity Type: | Individual |
| Taxonomy Code: | 208M00000X |
| Specialty: | Hospitalist |
| License Number: | 306224 |
Most Important Dates
| Enumeration Date: | 07/14/2014 |
| Last Updated: | 11/03/2023 |
Provider Practice Location
100 PORT WASHINGTON BLVD
ROSLYN
NY
115761347
Practice Location Phone/Fax
| Phone: | 5165626000 |
| Fax: |
Provider Mailing Location
PO BOX 192
PORT WASHINGTON
NY
110500192
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |