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Organization

BELLMORE MERRICK MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEWIS K JASSEY DO (OWNER)
(516) 409-8800
Entity
Organization

Contact information

Practice address
2154 NEWBRIDGE RD, BELLMORE, NY 11710-2239
(516) 409-8800
(516) 409-4921
Mailing address
2154 NEWBRIDGE RD, BELLMORE, NY 11710-2239
(516) 409-8800
(516) 409-4921

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
206951
NY

Other

Enumeration date
02/10/2015
Last updated
02/10/2015
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