Mermelstein, Jay
Mermelstein, Jay is an individual health care provider with primary practice located at 105 Stevens Ave Suite 301, Mount Vernon NY 10550-2686. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Mermelstein, Jay can be contacted via phone (914) 699-1515.Contact Information
Primary practice address
105 Stevens Ave Suite 301
Mount Vernon NY 10550-2686
Phone: (914) 699-1515
Fax: (914) 699-2907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N004414 | New York |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 25MD00251400 | New Jersey |
Profile Details
| NPI number | 1275720922 |
|---|---|
| LBN Legal business name | Mermelstein, Jay |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2007 |
| Last updated | Feb 24th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275720922 | NPPES |
| New York | MEDICAID | 01084459 |
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