Meacham, Marc A

Meacham, Marc A is an individual health care provider with primary practice located at 18 Honey Hollow Rd , Queensbury NY 12804-9116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Meacham, Marc A can be contacted via phone (518) 793-1000.

Contact Information

Primary practice address
18 Honey Hollow Rd Queensbury NY 12804-9116
Phone: (518) 793-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 207891 New York
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 207891 New York

Profile Details

NPI number 1427044304
LBN Legal business name Meacham, Marc A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Nov 6th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427044304 NPPES
New York MEDICAID 01770709

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