Individual
JAY MERMELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
105 STEVENS AVE, SUITE 301, MOUNT VERNON, NY 10550-2686
(914) 699-1515
(914) 699-2907
Mailing address
105 STEVENS AVE, SUITE 301, MOUNT VERNON, NY 10550-2686
(914) 699-1515
(914) 699-2907
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00251400
NJ
213E00000X
Podiatrist
N004414
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01084459
—
NY
Enumeration date
09/26/2007
Last updated
02/24/2010
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