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Organization
SOUTH MERRICK NP IN ADULT HEALTH P.C.
Active
Organization
SOUTH MERRICK NP IN ADULT HEALTH P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIJA HA NP (PROVIDER)
(917) 588-6962
Entity
Organization
Contact information
Practice address
10825 MERRICK BLVD, JAMAICA, NY 11433-2906
(718) 658-9700
Mailing address
10825 MERRICK BLVD, JAMAICA, NY 11433-2906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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