Individual
GARY SCOTT MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT, TROY, NY 12180-2466
(518) 271-3300
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
192673
NY
Other
Enumeration date
08/25/2006
Last updated
06/21/2021
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