Provider Demographics
NPI:1902683956
Name:MELTZER, DAVID T
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:T
Last Name:MELTZER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7342 VLEIGH PL
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-2839
Mailing Address - Country:US
Mailing Address - Phone:917-584-7058
Mailing Address - Fax:
Practice Address - Street 1:7342 VLEIGH PL
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-2839
Practice Address - Country:US
Practice Address - Phone:917-584-7058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program