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NPI Code Detail

MEDICARE: BURT ROBERT MEYERS M.D.

MEDICARE:   BURT ROBERT MEYERS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0001XClinical & Laboratory Immunology (Internal Medicine) Physician094226NY

General Provider Information

NPI Number : 1134295017
Entity Type Code : Individual
Provider Name (Legal Business Name) : BURT ROBERT MEYERS M.D.
Provider Business Mailing Address
First Line : 159 BROADWAY
Second Line :
City : HASTINGS ON HUDSON
State : NY
Zip : 10706-2904
Country : US
Telephone Number : 914-478-5776
Fax Number : 914-478-7161
Provider Business Practice Location Address
First Line : 1100 PARK AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10128-1202
Country : US
Telephone Number : 212-427-9550
Fax Number : 212-427-9889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2006
Last Update Date : 07/08/2007

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Directions to “ BURT ROBERT MEYERS M.D.” Practice Location

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