Individual
MR. STEVEN MERMELSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3117 DITMARS BLVD, ASTORIA, NY 11105-2305
(718) 274-4040
(718) 726-6414
Mailing address
3117 DITMARS BLVD, ASTORIA, NY 11105-2305
(718) 274-4040
(718) 726-6414
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N003270
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00637169
—
NY
01
—
480010583
MEDICARE RAILROAD
NY
01
—
55369I
MEDICARE GHI
NY
Enumeration date
07/20/2006
Last updated
09/27/2023
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