| Ruth M Meyer | |
|
3281 Veterans Memorial Hwy Suite E14 Ronkonkoma NY 11779-7676 | |
| (631) 471-3122 | |
| (631) 471-3036 |
| Full Name | Ruth M Meyer |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3281 Veterans Memorial Hwy, Ronkonkoma, New York |
| Authorized Official Name and Position | Ruth M Meyer (DIRECTOR) |
| Authorized Official Contact | 6314713122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth M Meyer 3281 Veterans Memorial Hwy Suite E14 Ronkonkoma NY 11779-7676 Ph: (631) 471-3122 | Ruth M Meyer 3281 Veterans Memorial Hwy Suite E14 Ronkonkoma NY 11779-7676 Ph: (631) 471-3122 |
| NPI Number | 1831260082 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831260082 | NPI | - | NPPES |
| 01662344 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 081111107 (New York) | Primary |
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