Healthcare Provider Details

I. General information

NPI: 1720907561
Provider Name (Legal Business Name): MEIR SHUBOWITZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 METROTECH CTR
BROOKLYN NY
11201-5431
US

IV. Provider business mailing address

3420 TURF RD
OCEANSIDE NY
11572-5632
US

V. Phone/Fax

Practice location:
  • Phone: 171-828-1832
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number340096
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: