Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | 036-121483 | IL |
Y | 2086S0120X | Pediatric Surgery | 264936 | NY |
NPI | 1386600898 |
---|---|
Provider Name | Andreas H Meier |
First Address | Syracuse, NY 13210-1603 |
Second Address | Syracuse, NY 13210-1603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2006 |
Last Update Date | 31/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0012158780002 | (05) | PA |
02522470 | (05) | NY |
036121483 | (05) | IL |
E27574 | (02) |