Healthcare Provider Details

I. General information

NPI: 1972747681
Provider Name (Legal Business Name): MEIR M ADLER RPA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2009
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 BRIAR CT
SPRING VALLEY NY
10977-6431
US

IV. Provider business mailing address

15 BRIAR CT
SPRING VALLEY NY
10977-6431
US

V. Phone/Fax

Practice location:
  • Phone: 845-406-1965
  • Fax: 845-296-9100
Mailing address:
  • Phone: 845-406-1965
  • Fax: 845-296-9100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number013260
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number013260
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: