Provider Demographics
NPI:1174631774
Name:MEYEROWITZ, CYRIL (DDS)
Entity type:Individual
Prefix:
First Name:CYRIL
Middle Name:
Last Name:MEYEROWITZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 ELMWOOD AVE
Mailing Address - Street 2:BOX 683
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-2913
Mailing Address - Country:US
Mailing Address - Phone:585-275-4935
Mailing Address - Fax:585-273-1237
Practice Address - Street 1:625 ELMWOOD AVE
Practice Address - Street 2:BOX 683
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-2913
Practice Address - Country:US
Practice Address - Phone:585-275-4935
Practice Address - Fax:585-273-1237
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY324871223G0001X
NY032487-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
14482DMedicare ID - Type Unspecified
NY00436008Medicare ID - Type Unspecified
7876OtherBLUE SHIELD GROUP #