MEDICARE: DR. ERIC P MIER 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
1	208000000X	Pediatrics Physician	210601	NY

General Provider Information

NPI Number	:	1295716132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC P MIER MD

Provider Business Mailing Address
First Line	:	50 DAYTON LN
Second Line	:	SUITE 202
City	:	PEEKSKILL
State	:	NY
Zip	:	10566-2859
Country	:	US
Telephone Number	:	914-739-0087
Fax Number	:	914-737-1714

Provider Business Practice Location Address
First Line	:	1985 CROMPOND RD
Second Line	:
City	:	CORTLANDT MANOR
State	:	NY
Zip	:	10567-4146
Country	:	US
Telephone Number	:	914-737-3346
Fax Number	:	914-737-3211

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	12/28/2022

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