Individual
MR. KYLE DAVID MERANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
525 E 68TH ST, STARR 900, NEW YORK, NY 10065-4870
(212) 746-5467
Mailing address
35-03 29TH STREET, APT 2B, ASTORIA, NY 11106-3134
(646) 246-4317
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304356-1
NY
Other
Enumeration date
06/22/2006
Last updated
11/06/2013
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