Individual
DR. STEPHEN J MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4011
Mailing address
202 TAUGHANNOCK BLVD, PO BOX 366, ITHACA, NY 14850-3328
(607) 277-4035
(607) 277-3888
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
174274
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01067349
—
NY
Enumeration date
01/25/2006
Last updated
11/14/2008
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