Provider Demographics
NPI:1003931510
Name:GAROD-MUSIC, MEREDITH (CPNP)
Entity Type:Individual
Prefix:MS
First Name:MEREDITH
Middle Name:
Last Name:GAROD-MUSIC
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:MS
Other - First Name:MEREDITH
Other - Middle Name:LYNNE
Other - Last Name:GAROD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:174 GARTH RD
Mailing Address - Street 2:APT 3S
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3859
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3959 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-1559
Practice Address - Country:US
Practice Address - Phone:212-342-8530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF381284363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics