MEDICARE: MR. PAUL MEYEROFF RPH

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	183500000X	Pharmacist	042027	NY

General Provider Information

NPI Number	:	1982833315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PAUL MEYEROFF RPH

Provider Business Mailing Address
First Line	:	19718 HILLSIDE AVE
Second Line	:
City	:	HOLLIS
State	:	NY
Zip	:	11423-2127
Country	:	US
Telephone Number	:	718-464-2400
Fax Number	:	718-736-0600

Provider Business Practice Location Address
First Line	:	19718 HILLSIDE AVE
Second Line	:
City	:	HOLLIS
State	:	NY
Zip	:	11423-2127
Country	:	US
Telephone Number	:	718-464-2400
Fax Number	:	718-736-0600

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

Provider Enumeration Date	:	07/07/2009
Last Update Date	:	07/07/2009

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