Provider Demographics
NPI:1730468547
Name:BEN-MEIR, DAVID AMOS (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:AMOS
Last Name:BEN-MEIR
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:AMOS
Other - Middle Name:DAVID
Other - Last Name:BEN-MEIR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:1600 HARRISON AVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-3145
Mailing Address - Country:US
Mailing Address - Phone:914-341-1199
Mailing Address - Fax:914-341-1198
Practice Address - Street 1:1600 HARRISON AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3145
Practice Address - Country:US
Practice Address - Phone:914-341-1199
Practice Address - Fax:914-341-1198
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-10
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY254760207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03543693Medicaid
NYA400083651Medicare PIN