Individual
LINDA KLEITMAN MERMELSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
SCDHS 3500 SUNRISE HIGHWAY, SUITE 124, GREAT RIVER, NY 11739-9006
(631) 854-0206
Mailing address
PO BOX 9006, SCDHS 3500 SUNRISE HIGHWAY, SUITE 124, GREAT RIVER, NY 11739-9006
(631) 854-0206
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
169891
NY
208100000X
Physical Medicine & Rehabilitation Physician
G57908
CA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
169891
NY
2083P0901X
Public Health & General Preventive Medicine Physician
G57908
CA
Other
Enumeration date
10/20/2006
Last updated
05/15/2014
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