Individual
STEFAN ALMA MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
47 NEW SCOTLAND AVE, DEPARTMENT OF EMERGENCY MEDICINE, ALBANY, NY 12208-3412
(518) 262-3095
Mailing address
862 PARK AVE, ALBANY, NY 12208-2241
(480) 818-0548
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
274696-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
63218
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63218
STUDENT, HEALTHCARE
NY
Enumeration date
05/01/2012
Last updated
12/17/2014
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