Individual
MRS. MARYALYCE MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 OLD NORTH RD STE 2, AMENIA, NY 12501-5340
(845) 244-0844
Mailing address
191 POPLAR HILL RD, WASSAIC, NY 12592-2428
(845) 729-8999
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
—
—
372600000X
Adult Companion
—
—
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
03/28/2011
Last updated
02/17/2022
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