Provider Demographics
NPI:1700221447
Name:MEYEROFF, CHESTER (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHESTER
Middle Name:
Last Name:MEYEROFF
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 WATERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1032
Mailing Address - Country:US
Mailing Address - Phone:516-569-1327
Mailing Address - Fax:
Practice Address - Street 1:514 WATERVIEW DR
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-1032
Practice Address - Country:US
Practice Address - Phone:516-569-1327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22533183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist