Merrick Blvd Medical Pc in Valley Stream - Primary Care
Merrick Blvd Medical Pc - NPI 1366569881
Merrick Blvd Medical Pc is a Primary Care in Valley Stream, New York. Merrick Blvd Medical Pc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Merrick Blvd Medical Pc is 1366569881. The last update date is 2020-08-22.
Merrick Blvd Medical Pc's current location address is 787 West Merrick Rd, Valley Stream, New York. You can contact this provider via phone number 5162846253 and fax number 5162846255. The mailing address for Merrick Blvd Medical Pc is 787 West Merrick Rd, Valley Stream, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Merrick Blvd Medical Pc |
|---|---|
| Address | 787 West Merrick Rd, Valley Stream, New York |
| Phone Number | 5162846253 |
| Fax Number | 5162846255 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Mardy Yvan |
| Credentials | M.D. |
| Telephone Number | 5162846253 |
NPI Number Detail
| NPI Number | 1366569881 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 787 West Merrick Rd |
|---|---|
| City | Valley Stream |
| State | New York (NY) |
| Post Code | 115804828 |
| Phone Number | 5162846253 |
| Fax Number | 5162846255 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 185993 |
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Definition: Serves as the first point of contact for comprehensive healthcare services. |
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What is the Merrick Blvd Medical Pc's 1366569881?
The Merrick Blvd Medical Pc's NPI (National Provider Identifier) Number is 1366569881. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Merrick Blvd Medical Pc's facilities are geographically located?
The facilities of Merrick Blvd Medical Pc are physically situated at the following location: 787 West Merrick Rd, Valley Stream, NY, 115804828.
What is Merrick Blvd Medical Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Merrick Blvd Medical Pc is Primary Care, and the taxonomy code that classifies this field of practice is 261Qp2300X.
When did Merrick Blvd Medical Pc receive its 1366569881 assignment?
The Merrick Blvd Medical Pc was assigned its 1366569881 on 2007-03-22, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Merrick Blvd Medical Pc most recently updated or revised?
The information pertaining to Merrick Blvd Medical Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1376546309
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