Individual
DR. VADIM MEYTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
21 READE PL STE 3100, POUGHKEEPSIE, NY 12601
(845) 214-1800
(845) 214-1818
Mailing address
110 BENNETT AVE, APT 2F, NEW YORK, NY 10033-2308
(212) 444-2804
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
289440
NY
2086S0127X
Trauma Surgery Physician
Primary
289440
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04793073
—
NY
Enumeration date
04/25/2012
Last updated
06/27/2018
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