Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 248868 | NY |
N | 2080P0207X | Pediatric Hematology-Oncologist | 248868 | NY |
NPI | 1205095031 |
---|---|
Provider Name | Dr. Rina Meyer |
First Address | Stony Brook, NY 11790-0989 |
Second Address | Stony Brook, NY 11794-8111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2008 |
Last Update Date | 13/05/2015 |