Provider Demographics
NPI:1083646269
Name:MEYERS, BARNETT S (MD)
Entity Type:Individual
Prefix:
First Name:BARNETT
Middle Name:S
Last Name:MEYERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:21 BLOOMINGDALE ROAD
Mailing Address - Street 2:UNIT 2 SOUTH ROOM 203
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605
Mailing Address - Country:US
Mailing Address - Phone:914-997-5721
Mailing Address - Fax:914-997-8650
Practice Address - Street 1:21 BLOOMINGDALE ROAD
Practice Address - Street 2:UNIT 2 SOUTH ROOM 203
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605
Practice Address - Country:US
Practice Address - Phone:914-997-5721
Practice Address - Fax:914-997-8650
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1034722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00179593Medicaid
NY00179593Medicaid
NY565891Medicare PIN