Mevs, Clifford A

Mevs, Clifford A is an individual health care provider with primary practice located at 148 New Dorp Lane 2Nd Floor, Staten Island NY 10306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mevs, Clifford A can be contacted via phone (718) 980-5437.

Contact Information

Primary practice address
148 New Dorp Lane 2Nd Floor Staten Island NY 10306
Phone: (718) 980-5437
Fax: (718) 979-2653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 160103 New York

Profile Details

NPI number 1063486934
LBN Legal business name Mevs, Clifford A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Dec 2nd, 2013 - about 13 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 1063486934 NPPES
New York MEDICAID 01214337

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