MEDICARE: DR. ALLAN MARTIN MEYER M.D.

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	207X00000X	Orthopaedic Surgery Physician	153643	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	153643-1	OTHER	NY	WORKER'S COMPENSATION

General Provider Information

NPI Number	:	1720157407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLAN MARTIN MEYER M.D.

Provider Business Mailing Address
First Line	:	136 GIRARD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3010
Country	:	US
Telephone Number	:	718-934-7223
Fax Number	:	718-934-7223

Provider Business Practice Location Address
First Line	:	532 NEPTUNE AVE
Second Line	:	SUITE 209
City	:	BROOKLYN
State	:	NY
Zip	:	11224-4010
Country	:	US
Telephone Number	:	718-449-8860
Fax Number	:

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

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	07/08/2007

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