Healthcare Provider Details

I. General information

NPI: 1114384591
Provider Name (Legal Business Name): STANLEY MEYERS PSYCHOLOGIST PHD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2016
Last Update Date: 02/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 W 60TH ST APT 1R
NEW YORK NY
10023-7902
US

IV. Provider business mailing address

30 W 60TH ST APT 1R
NEW YORK NY
10023-7902
US

V. Phone/Fax

Practice location:
  • Phone: 212-633-6865
  • Fax: 212-645-0570
Mailing address:
  • Phone: 212-633-6865
  • Fax: 212-645-0570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number5704
License Number StateNY

VIII. Authorized Official

Name: DR. STANLEY MEYERS
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 212-633-6865