Provider Demographics
NPI:1427155605
Name:M J MELTZER & D G KASSAN MD LLP
Entity type:Organization
Organization Name:M J MELTZER & D G KASSAN MD LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:GILEAD
Authorized Official - Last Name:KASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-621-7720
Mailing Address - Street 1:70 GLEN COVE RD
Mailing Address - Street 2:STE 306
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1726
Mailing Address - Country:US
Mailing Address - Phone:516-621-7720
Mailing Address - Fax:516-625-4521
Practice Address - Street 1:70 GLEN COVE RD
Practice Address - Street 2:STE 306
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-1726
Practice Address - Country:US
Practice Address - Phone:516-621-7720
Practice Address - Fax:516-625-4521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty