Provider Demographics
NPI:1144322470
Name:MESHBERG, PHILLIPS (RPH)
Entity type:Individual
Prefix:MR
First Name:PHILLIPS
Middle Name:
Last Name:MESHBERG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 SHORT HILL RD
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-1811
Mailing Address - Country:US
Mailing Address - Phone:845-638-0884
Mailing Address - Fax:
Practice Address - Street 1:138 ALBANY POST RD
Practice Address - Street 2:VA HCS (FDR) HOSPITAL
Practice Address - City:MONTROSE
Practice Address - State:NY
Practice Address - Zip Code:10548
Practice Address - Country:US
Practice Address - Phone:914-737-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0219971835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy