Healthcare Provider Details

I. General information

NPI: 1437345287
Provider Name (Legal Business Name): ANNE MARIE MEO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2007
Last Update Date: 08/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 TECHNOLOGY DR
EAST SETAUKET NY
11733
US

IV. Provider business mailing address

PO BOX 1554
STONY BROOK NY
11794
US

V. Phone/Fax

Practice location:
  • Phone: 631-444-8061
  • Fax:
Mailing address:
  • Phone: 631-444-8061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number240433
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: