Individual
DR. MICHAEL DAVID DE MEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 E 72ND ST, SUITE# 1-E, NEW YORK, NY 10021-4684
(212) 535-2599
(212) 535-2598
Mailing address
311 E 72ND ST, SUITE# 1-E, NEW YORK, NY 10021-4684
(212) 535-2599
(212) 535-2598
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
155918-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155918-1
NYS LICENSE NUMBER
—
Enumeration date
03/03/2007
Last updated
07/08/2007
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