Provider Demographics
NPI:1164573499
Name:BRIFFEL, MEYANNE PUTNAM (OD)
Entity Type:Individual
Prefix:DR
First Name:MEYANNE
Middle Name:PUTNAM
Last Name:BRIFFEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:44 CHELTENHAM ST
Mailing Address - Street 2:
Mailing Address - City:LIDO BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-5011
Mailing Address - Country:US
Mailing Address - Phone:516-432-4855
Mailing Address - Fax:516-431-3331
Practice Address - Street 1:612 E PARK AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-2505
Practice Address - Country:US
Practice Address - Phone:516-431-3838
Practice Address - Fax:516-431-3331
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV003337152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist