# MERRICK MEDICAL CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821399981
- **Authorized official:** DR. NEELAM GUPTA MD (MD)
- **Authorized official phone:** (516) 378-3380

## Contact information

- **Practice address:** 1703 MERRICK AVE, MERRICK, NY 11566-1628
- **Practice address phone:** (516) 378-3380
- **Practice address fax:** (516) 546-1517
- **Mailing address:** 1703 MERRICK AVE, MERRICK, NY 11566-1628
- **Mailing address phone:** (516) 378-3380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 172842 | NY | Yes |

## Other

- **Enumeration date:** 11/05/2010
- **Last updated:** 06/20/2018