Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 116325 | NY |
NPI | 1053321547 |
---|---|
Provider Name | Richard Jay Meyer |
First Address | New York, NY 10128-1234 |
Second Address | New York, NY 10128-1234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00274722 | (05) | NY |
C08650 | (02) |