Provider Demographics
NPI:1518200146
Name:MEYERS, ROBIN MARIE
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:MARIE
Last Name:MEYERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 E FOREST TRL
Mailing Address - Street 2:
Mailing Address - City:HOLMES
Mailing Address - State:NY
Mailing Address - Zip Code:12531-5147
Mailing Address - Country:US
Mailing Address - Phone:845-878-3009
Mailing Address - Fax:
Practice Address - Street 1:50 E FOREST TRL
Practice Address - Street 2:
Practice Address - City:HOLMES
Practice Address - State:NY
Practice Address - Zip Code:12531-5147
Practice Address - Country:US
Practice Address - Phone:845-878-3009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-02
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist