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Individual

JASON MEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
516 MONTAUK HWY, SUITE 1, EAST MORICHES, NY 11940-1236
(631) 874-2900
(631) 874-2948
Mailing address
516 MONTAUK HWY, SUITE 1, EAST MORICHES, NY 11940-1236
(631) 874-2900
(631) 874-2948

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306557-1
NY

Other

Enumeration date
06/05/2014
Last updated
06/05/2014
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