Provider Demographics
NPI:1720378722
Name:SUZANNE J. MEYERS, M.D., P.C.
Entity Type:Organization
Organization Name:SUZANNE J. MEYERS, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:J
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-831-0102
Mailing Address - Street 1:3580 SHERIDAN DR
Mailing Address - Street 2:STE 110
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1645
Mailing Address - Country:US
Mailing Address - Phone:716-831-0102
Mailing Address - Fax:716-831-0800
Practice Address - Street 1:3580 SHERIDAN DR
Practice Address - Street 2:STE 110
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1645
Practice Address - Country:US
Practice Address - Phone:716-831-0102
Practice Address - Fax:716-831-0800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY167452-1261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000000000OtherMERITAIN HEALTH
NY00010117901OtherUNIVERA
NY000504288001OtherBLUE CROSS
NY0707219OtherINDEPENDENT HEALTH
NY0707219OtherAZEROS HEALTH PLAN/NOVA
NY000504288001OtherBLUE CROSS