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Organization

MEDICAL OFFICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MERITA PIERRE LOUIS M.D. (PRESIDENT ATTENTING)
(718) 531-2540
Entity
Organization

Contact information

Practice address
1821 ROCKAWAY PKWY, BROOKLYN, NY 11236-5005
(718) 531-2540
(718) 531-2540
Mailing address
1821 ROCKAWAY PKWY, BROOKLYN, NY 11236-5005
(718) 531-2540
(718) 531-2540

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
195497
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01729666
NY
Enumeration date
01/11/2007
Last updated
08/22/2020
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