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NPI Code Detail

MEDICARE: JORDAN MEYERS MD

MEDICARE:   JORDAN  MEYERS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080A0000XPediatric Adolescent Medicine Physician084833NY
2207R00000XInternal Medicine Physician084833NY

General Provider Information

NPI Number : 1245240720
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN MEYERS MD
Provider Business Mailing Address
First Line : 5322 AVENUE N
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-3910
Country : US
Telephone Number : 718-241-1488
Fax Number : 718-241-0590
Provider Business Practice Location Address
First Line : 5322 AVENUE N
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-3910
Country : US
Telephone Number : 718-241-1488
Fax Number : 718-241-0590
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 05/24/2023

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