Provider Demographics
NPI:1972747681
Name:ADLER, MEIR M (RPA-C)
Entity Type:Individual
Prefix:
First Name:MEIR
Middle Name:M
Last Name:ADLER
Suffix:
Gender:M
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 N RIGAUD RD
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-2533
Mailing Address - Country:US
Mailing Address - Phone:845-694-4585
Mailing Address - Fax:
Practice Address - Street 1:14 RAYWOOD DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-2414
Practice Address - Country:US
Practice Address - Phone:845-782-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-24
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013260363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant