Individual
MR. MICHAEL G MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
110 W 97TH ST, NEW YORK, NY 10025-6450
(212) 749-1820
Mailing address
406 E 9TH ST, APT 19, NEW YORK, NY 10009-4902
(301) 872-0047
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014928-1
NY
Other
Enumeration date
09/28/2011
Last updated
03/07/2012
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