Provider Demographics
NPI:1679662811
Name:MEIMARIS, NATALIA (MD, DO)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:MEIMARIS
Suffix:
Gender:F
Credentials:MD, DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 MADISON AVE
Mailing Address - Street 2:FLOOR 12
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1009
Mailing Address - Country:US
Mailing Address - Phone:212-486-7447
Mailing Address - Fax:212-486-3557
Practice Address - Street 1:635 MADISON AVE
Practice Address - Street 2:FLOOR 12
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1009
Practice Address - Country:US
Practice Address - Phone:212-486-7447
Practice Address - Fax:212-486-3557
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY227653207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY227653OtherSTATE LICENSE
NYI00776Medicare UPIN