Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251C2600X | Cardiopulmonary | 011587-1 | NY |
NPI | 1447479183 |
---|---|
Provider Name | Peg Meisler |
First Address | Cold Spring, NY 10516-2102 |
Second Address | West Haverstraw, NY 10993-1055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 08/07/2007 |