Individual
JESSICA MERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570-1000
(516) 705-2630
Mailing address
1000 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570-1000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
043185
NY
225100000X
Physical Therapist
043185
NY
Other
Enumeration date
03/27/2019
Last updated
12/17/2022
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