Organization
JAY MERMELSTEIN DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY MERMELSTEIN DPM (OWNER PRESIDENT)
(914) 699-1515
Entity
Organization
Contact information
Practice address
105 STEVENS AVE, STE 301, MOUNT VERNON, NY 10550-2686
(914) 699-1515
(914) 699-2907
Mailing address
105 STEVENS AVE, STE 301, MOUNT VERNON, NY 10550-2686
(914) 699-1515
(914) 699-2907
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004414
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01084459
—
NY
Enumeration date
11/30/2005
Last updated
12/13/2007
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