Merrick Medical Pc

LBN: Merrick Medical Pc
Merrick Medical Pc is an health care organization with primary practice located at 24351 Merrick Blvd , Rosedale NY 11422-1459. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Merrick Medical Pc can be contacted via phone (718) 749-5833, or through Tadros, Kamal via phone (516) 697-3799.

Contact Information

Primary practice address
24351 Merrick Blvd Rosedale NY 11422-1459
Phone: (718) 749-5833
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tadros, Kamal Doctor of Medicine (MD)
Phone: (516) 697-3799

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1790251189
LBN Legal business name Merrick Medical Pc
DBA Doing business as
Authorized official Tadros, Kamal Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2018
Last updated Oct 23rd, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790251189 NPPES
New York MEDICAID 01659594

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