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Organization
MERMAID OPERATING CO, LLC
Active
Organization
MERMAID OPERATING CO, LLC
Active
Other names
Mermaid Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS PEREZ MD (DIRECTOR)
(718) 265-0900
Entity
Organization
Contact information
Practice address
1704 MERMAID AVE, BROOKLYN, NY 11224-2622
(718) 265-0900
(718) 265-6319
Mailing address
1704 MERMAID AVE, BROOKLYN, NY 11224-2622
(718) 265-0900
(718) 265-6319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207VG0400X
Gynecology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/03/2006
Last updated
01/05/2009
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