| Merrick Blvd Medical Pc | |
|
787 West Merrick Rd Valley Stream NY 11580-4828 | |
| (516) 284-6253 | |
| (516) 284-6255 |
| Full Name | Merrick Blvd Medical Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 787 West Merrick Rd, Valley Stream, New York |
| Authorized Official Name and Position | Yvan Mardy (PHYSICIAN PRESIDENT) |
| Authorized Official Contact | 5162846253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merrick Blvd Medical Pc 787 West Merrick Rd Valley Stream NY 11580-4828 Ph: (516) 284-6253 | Merrick Blvd Medical Pc 787 West Merrick Rd Valley Stream NY 11580-4828 Ph: (516) 284-6253 |
| NPI Number | 1366569881 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366569881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 185993 (New York) | Primary |
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