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NPI Code Detail

MEDICARE: DR. DAVID LEONARD MECKES D.O.

MEDICARE: DR. DAVID LEONARD MECKES D.O.
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
1208000000XPediatrics Physician182864NY

General Provider Information

NPI Number : 1982700829
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID LEONARD MECKES D.O.
Provider Business Mailing Address
First Line : 2245 JACKSON AVE
Second Line :
City : SEAFORD
State : NY
Zip : 11783-2646
Country : US
Telephone Number : 516-826-5900
Fax Number : 516-826-6039
Provider Business Practice Location Address
First Line : 2245 JACKSON AVE
Second Line :
City : SEAFORD
State : NY
Zip : 11783-2646
Country : US
Telephone Number : 516-826-5900
Fax Number : 516-826-6039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 07/08/2007

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