Doctor Name: | DR. BRIAN S. MEYER |
NPI Number: | 1043569197 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 012010 |
Business Practice Address: | 35 Beaumont Drive Plainview, NY - 118032507 |
Business Phone Number: | 5166500595 |
Business Fax Number: | 5169383833 |
Mailing Address: | 35 Beaumont Drive, PLAINVIEW |
State: | NY |
Postal Code: | 118032507 |
Phone Number: | 5166500595 |
Fax Number: | 5169383833 |
NPI Enumeration Date: | 09/05/2012 |
NPI Last Update Date: | 09/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 012010 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |