| Mergie Desir, M.d., P.l.l.c. | |
|
7580 184th St Fresh Meadows NY 11366-1715 | |
| (718) 805-1215 | |
| (718) 805-1218 |
| Full Name | Mergie Desir, M.d., P.l.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 7580 184th St, Fresh Meadows, New York |
| Authorized Official Name and Position | Mergie Desir (PHYSICIAN) |
| Authorized Official Contact | 7188051215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mergie Desir, M.d., P.l.l.c. 7580 184th St Fresh Meadows NY 11366-1715 Ph: (718) 805-1215 | Mergie Desir, M.d., P.l.l.c. 7580 184th St Fresh Meadows NY 11366-1715 Ph: (718) 805-1215 |
| NPI Number | 1346437563 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 06/21/2021 |
| Medicare PECOS PAC ID | 2769578509 |
|---|---|
| Medicare Enrollment ID | O20071010000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346437563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 219313 (New York) | Primary |
| Provider Name | Mergie Desir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053360743 PECOS PAC ID: 8628023835 Enrollment ID: I20050321000300 |
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