Organization
MERRICK MEDICAL WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VARUN BAJAJ (ADMIN)
(718) 554-1042
Entity
Organization
Contact information
Practice address
1613 MERRICK RD, MERRICK, NY 11566-4540
(718) 554-1042
Mailing address
1613 MERRICK RD, MERRICK, NY 11566-4540
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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