Provider Demographics
NPI:1396452421
Name:MEETOO, MARCY KAMEIL
Entity type:Individual
Prefix:MS
First Name:MARCY
Middle Name:KAMEIL
Last Name:MEETOO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8556 88TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-1307
Mailing Address - Country:US
Mailing Address - Phone:347-707-2534
Mailing Address - Fax:
Practice Address - Street 1:3124 LONG BEACH RD UNIT 7
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-3294
Practice Address - Country:US
Practice Address - Phone:516-764-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069407183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist