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Individual

DR. JOSEPH MICHAEL MEROLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
6795 HYLAN BLVD, STATEN ISLAND, NY 10309-3819
(718) 967-2412
(718) 554-4515
Mailing address
304 S GREENLEAF AVE, STATEN ISLAND, NY 10314-2922
(466) 778-1436
(718) 554-4515

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
058625
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/07/2014
Last updated
03/05/2020
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