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NPI Code Detail

MEDICARE: DR. ANDREW P MEZEY M.D.

MEDICARE: DR. ANDREW P MEZEY 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
1208000000XPediatrics Physician087128NY

General Provider Information

NPI Number : 1992797187
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW P MEZEY M.D.
Provider Business Mailing Address
First Line : 21 AGNES CIR
Second Line :
City : ARDSLEY
State : NY
Zip : 10502-1706
Country : US
Telephone Number : 914-693-5670
Fax Number : 914-693-6436
Provider Business Practice Location Address
First Line : 1301 57TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4636
Country : US
Telephone Number : 718-283-3650
Fax Number : 718-283-3602
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 07/08/2007

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