Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 106087 | NY |
N | 207RR0500X | Rheumatology | 106087 | NY |
NPI | 1588788186 |
---|---|
Provider Name | Dr. Allen David Meisel |
First Address | New York, NY 10029-6527 |
Second Address | New York, NY 10128-1913 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 04/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C11594 | (02) | NY |