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:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063486934 | NPPES |
| New York | MEDICAID | 01214337 |
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