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Organization

MERRICK BLVD MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. YVAN MARDY M.D. (PHYSICIAN PRESIDENT)
(516) 284-6253
Entity
Organization

Contact information

Practice address
787 WEST MERRICK RD, VALLEY STREAM, NY 11580-4828
(516) 284-6253
(516) 284-6255
Mailing address
787 WEST MERRICK RD, VALLEY STREAM, NY 11580-4828
(516) 284-6253
(516) 284-6255

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
185993
NY

Other

Enumeration date
03/22/2007
Last updated
08/22/2020
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