Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 167319 | NY |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 167319 | NY |
NPI | 1225024631 |
---|---|
Provider Name | Robert Meislin |
First Address | New York, NY 10016-2772 |
Second Address | New York, NY 10016-2772 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2005 |
Last Update Date | 24/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02319946 | (05) | NY |
F03319 | (02) | NY |