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Individual
JAY MERMELSTEIN
Active
Individual
JAY MERMELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00251400
NJ
213E00000X
Podiatrist
N004414
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01084459
—
NY
Enumeration date
09/26/2007
Last updated
02/24/2010
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