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Merriderm Dermatology Pllc
Medical Specialty Clinic/Center in Flushing, New York
NPI 1255775227

Merriderm Dermatology Pllc is a Medical Specialty Clinic/Center based in Flushing, NY and is specialized in Medical Specialty. Merriderm Dermatology Pllc practices in Flushing, NY. The NPI Number for Merriderm Dermatology Pllc is 1255775227 and holds a License No. 266027 (New York).

The current practice location address for Merriderm Dermatology Pllc is 3644 Main St # 2Ndfl, Flushing, NY and can be reached out via phone at 347-732-0690 and via fax at 347-732-0691.

Location: 3644 Main St # 2Ndfl, Flushing, NY, 11354-4105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255775227
Provider Name
Merriderm Dermatology Pllc
Credential
Provider Entity Type
Organization
Address
3644 Main St # 2Ndfl, Flushing, NY, 11354-4105
Phone Number
347-732-0690
Fax Number
347-732-0691
Provider Enumeration Date
04/22/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03509437 05 NY
institution
Provider Business Practice Location Address Details
Address
3644 Main St # 2Ndfl
City
Flushing
State
New York
Zip
11354-4105
Phone Number
347-732-0690
Fax Number
347-732-0691
person
Provider Business Mailing Address Details
Address
3644 Main St # 2Ndfl
City
Flushing
State
New York
Zip
11354-4105
Phone Number
347-732-0690
Fax Number
347-732-0691
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
266027 (New York)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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