Individual
PAUL J MERKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1404 PORTLAND AVENUE, ROCHESTER, NY 14621
(585) 266-1940
(585) 266-2223
Mailing address
908 NIAGARA FALLS BLVD, STE 208, N TONAWANDA, NY 14120
(716) 692-2160
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
004993
NY
213E00000X
Podiatrist
N004993-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01532310
—
NY
01
—
8146
BLUE CROSS/SHIELD
NY
01
—
MD486R
PREFERRED CARE
NY
01
—
P010004993
BLUE CHOICE
NY
Enumeration date
09/12/2006
Last updated
02/05/2008
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