Provider Demographics
NPI:1952357477
Name:MEILMAN, JEFFREY GREGORY (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:GREGORY
Last Name:MEILMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3260
Mailing Address - Country:US
Mailing Address - Phone:716-626-5300
Mailing Address - Fax:716-626-0889
Practice Address - Street 1:812 MAPLE RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-3276
Practice Address - Country:US
Practice Address - Phone:716-626-5300
Practice Address - Fax:716-626-0889
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY107970208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYDO1569Medicare UPIN