Individual
MYEA MEIGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 W 21ST ST RM 1003, NEW YORK, NY 10010-6843
(917) 740-5287
Mailing address
1410 E 48TH ST, BROOKLYN, NY 11234-2104
(718) 810-4465
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
659194
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403666
NY
Other
Enumeration date
07/01/2021
Last updated
04/05/2023
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