Organization
MERRICK MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEELAM GUPTA MD (MD)
(516) 378-3380
Entity
Organization
Contact information
Practice address
1703 MERRICK AVE, MERRICK, NY 11566-1628
(516) 378-3380
(516) 546-1517
Mailing address
1703 MERRICK AVE, MERRICK, NY 11566-1628
(516) 378-3380
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
172842
NY
Other
Enumeration date
11/05/2010
Last updated
06/20/2018
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