| Merrick Medical Pc | |
|
24351 Merrick Blvd Rosedale NY 11422-1459 | |
| (718) 749-5833 | |
| Not Available |
| Full Name | Merrick Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 24351 Merrick Blvd, Rosedale, New York |
| Authorized Official Name and Position | Kamal Tadros (PRESIDENT) |
| Authorized Official Contact | 5166973799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merrick Medical Pc 3415 Parsons Blvd Apt 7e Flushing NY 11354-4611 Ph: (516) 697-3799 | Merrick Medical Pc 24351 Merrick Blvd Rosedale NY 11422-1459 Ph: (718) 749-5833 |
| NPI Number | 1790251189 |
|---|---|
| Provider Enumeration Date | 10/23/2018 |
| Last Update Date | 10/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790251189 | NPI | - | NPPES |
| 01659594 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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