Provider Demographics
NPI:1407090186
Name:SLUTZAH-BERNSTEIN, MEREDITH GAIL (DO)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:GAIL
Last Name:SLUTZAH-BERNSTEIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MEREDITH
Other - Middle Name:GAIL
Other - Last Name:SLUTZAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:300 COMMUNITY DR
Mailing Address - Street 2:DIVISION OF NEONATAL-PERINATAL MEDICINE
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3816
Mailing Address - Country:US
Mailing Address - Phone:516-562-4665
Mailing Address - Fax:516-562-4516
Practice Address - Street 1:270 PARK AVE
Practice Address - Street 2:DIVISION OF NEONATAL-PERINATAL MEDICINE
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2787
Practice Address - Country:US
Practice Address - Phone:516-351-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2403112080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine