Provider Demographics
NPI:1669430666
Name:PREVOR-WEISS, MEREDITH B (MD)
Entity type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:B
Last Name:PREVOR-WEISS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:955 YONKERS AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3063
Mailing Address - Country:US
Mailing Address - Phone:914-237-2002
Mailing Address - Fax:914-237-3002
Practice Address - Street 1:955 YONKERS AVE STE 105
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-3063
Practice Address - Country:US
Practice Address - Phone:914-237-2002
Practice Address - Fax:914-237-3002
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07890300207W00000X
NY226151207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY133981960OtherEMPIRE METROPOLITAN
NY226151-9WOtherNYS WORKERS COMP
NY080825000066OtherFIDELIS
NY133981960OtherPOMCO
NY8860822OtherCIGNA
NY1669430666OtherHUDSON HEALTH
NY02785275Medicaid
NY255731902OtherUNITED
NY5C6710OtherHEALTHNET
NY133981960OtherMULTIPLAN
NY379867OtherWELLCARE
NY0125757OtherGHI
NY0125757OtherGHI MEDICARE CHOICE PPO
NY1000065325OtherAFFINITY
NY112249OtherGHI HMO
NY133981960Other1199
NY7092666OtherAETNA
NYP3799264OtherOXFORD
NY336691POtherHIP
NY540B61OtherBC/BS
NY112249OtherGHI HMO
NY1669430666OtherHUDSON HEALTH