Doctor Name: | ROBERT MYERS |
NPI Number: | 1043629520 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPN |
License Number: | 218799-1 |
Business Practice Address: | 65275 Route 48 Greenport, NY - 119442236 |
Business Phone Number: | 6314776005 |
Business Fax Number: | |
Mailing Address: | Po Box 436, PECONIC |
State: | NY |
Postal Code: | 119580436 |
Phone Number: | 6314776005 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2014 |
NPI Last Update Date: | 08/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 218799-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |