| Mermaid Medical & Diagnostics, P.c. | |
|
81 Roosevelt Ave Valley Stream NY 11581 | |
| (516) 859-4292 | |
| Not Available |
| Full Name | Mermaid Medical & Diagnostics, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 81 Roosevelt Ave, Valley Stream, New York |
| Authorized Official Name and Position | Rashed U Abedin (PRESIDENT/OWNER) |
| Authorized Official Contact | 5168594292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mermaid Medical & Diagnostics, P.c. 81 Roosevelt Ave Valley Stream NY 11581 Ph: (516) 859-4292 | Mermaid Medical & Diagnostics, P.c. 81 Roosevelt Ave Valley Stream NY 11581 Ph: (516) 859-4292 |
| NPI Number | 1194585513 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 04/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194585513 | NPI | - | NPPES |
| 02622508 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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