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Organization
MERRICK MEDICAL PC
Active
Organization
MERRICK MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMAL TADROS MD (PRESIDENT)
(516) 697-3799
Entity
Organization
Contact information
Practice address
24351 MERRICK BLVD, ROSEDALE, NY 11422-1459
(718) 749-5833
Mailing address
3415 PARSONS BLVD APT 7E, FLUSHING, NY 11354-4611
(516) 697-3799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01659594
—
NY
Enumeration date
10/23/2018
Last updated
10/23/2018
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