Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YS0200X | School Counselor | 075848-1 | NY |
Y | 1041C0700X | Clinical Social Worker | R075848-1 | NY |
NPI | 1083754345 |
---|---|
Provider Name | Andrea M Meier |
First Address | Whitesboro, NY 13492-2749 |
Second Address | New Hartford, NY 13413-1014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 09/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
050224000293 | FIDELIS CARE NEW YORK (01) | NY |