Individual
MERLAN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1685 NEWBRIDGE ROAD, NORTH BELLMORE, NY 11710
(516) 826-0103
Mailing address
1685 NEWBRIDGE RD, NORTH BELLMORE, NY 11710-1603
(516) 826-0103
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006683
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2011
Last updated
12/09/2015
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