Mermelstein, Jay

Mermelstein, Jay is an individual health care provider with primary practice located at 105 Stevens Ave Suite 301, Mount Vernon NY 10550-2686. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Mermelstein, Jay can be contacted via phone (914) 699-1515.

Contact Information

Primary practice address
105 Stevens Ave Suite 301 Mount Vernon NY 10550-2686
Phone: (914) 699-1515
Fax: (914) 699-2907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N004414 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00251400 New Jersey

Profile Details

NPI number 1275720922
LBN Legal business name Mermelstein, Jay
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2007
Last updated Feb 24th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275720922 NPPES
New York MEDICAID 01084459

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