MEDICARE: JOHN D MEYER MD, MPH

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
1	2083X0100X	Occupational Medicine Physician	255951	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821094731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN D MEYER MD, MPH

Provider Business Mailing Address
First Line	:	1 GUSTAVE L LEVY PL # 1057
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-6504
Country	:	US
Telephone Number	:	212-241-5555
Fax Number	:	212-241-5516

Provider Business Practice Location Address
First Line	:	1 GUSTAVE L LEVY PL # 1057
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-6504
Country	:	US
Telephone Number	:	212-241-5555
Fax Number	:	212-241-5516

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	08/24/2022

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