Organization
JAY MERMELSTEIN, DPM.PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY MERMELSTEIN (OWNER)
(914) 699-1515
Entity
Organization
Contact information
Practice address
105 STEVENS AVE, SUITE 301, MOUNT VERNON, NY 10550-2686
(914) 699-1515
(914) 699-2907
Mailing address
105 STEVENS AVE, SUITE 301, MOUNT VERNON, NY 10550-2686
(914) 699-1515
(914) 699-2907
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N004414
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02606059
—
NY
Enumeration date
01/16/2009
Last updated
01/16/2009
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