Individual
MERVAT EID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 CLARA BARTON ST, DANSVILLE, NY 14437-9503
(585) 335-6001
Mailing address
PO BOX 2005, EAST SYRACUSE, NY 13057-4505
(315) 449-0513
(315) 445-2936
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
149427
NY
Other
Enumeration date
03/04/2006
Last updated
05/02/2012
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