Healthcare Provider Details

I. General information

NPI: 1295716132
Provider Name (Legal Business Name): ERIC P MIER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 12/28/2022
Certification Date: 12/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1985 CROMPOND RD
CORTLANDT MANOR NY
10567-4146
US

IV. Provider business mailing address

50 DAYTON LN SUITE 202
PEEKSKILL NY
10566-2859
US

V. Phone/Fax

Practice location:
  • Phone: 914-737-3346
  • Fax: 914-737-3211
Mailing address:
  • Phone: 914-739-0087
  • Fax: 914-737-1714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number210601
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: