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Individual

DR. MELITA J MERTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
52 1/2 NORTH ST, DRYDEN, NY 13053
(604) 844-9699
(607) 844-3710
Mailing address
PO BOX 399, 52 1/2 NORTH ST, DRYDEN, NY 13053
(604) 844-9699
(607) 844-3710

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004652
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01515291
NY
Enumeration date
08/09/2006
Last updated
07/07/2008
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