Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 218683 | NY |
Y | 213ES0000X | Sports Medicine | 218683 | NY |
NPI | 1154310316 |
---|---|
Provider Name | Dr. Neal Adam Mesnick |
First Address | New York, NY 10011-6307 |
Second Address | New York, NY 10011-6307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2005 |
Last Update Date | 26/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H51869 | (02) | NY |