Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 222575 | NY |
NPI | 1033119458 |
---|---|
Provider Name | Philip M Meyers |
First Address | New York, NY 10032-2603 |
Second Address | New York, NY 10032-2603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 10/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02190036 | (05) | NY |