Individual
DR. DESIREE MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2901 216TH ST, ST. MARY'S HOSPITAL FOR CHILDREN, BAYSIDE, NY 11360-2810
(718) 281-8569
(718) 281-8590
Mailing address
2901 216TH ST, ST. MARY'S HOSPITAL FOR CHILDREN, BAYSIDE, NY 11360-2810
(718) 281-8569
(718) 281-8590
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
174782
NY
Other
Enumeration date
01/31/2006
Last updated
04/02/2015
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