Merrick, Conan

Merrick, Conan is an individual health care provider with primary practice located at 1050 Hallock Ave , Port Jefferson Station NY 11776-1214. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Merrick, Conan can be contacted via phone (631) 681-5875.

Contact Information

Primary practice address
1050 Hallock Ave Port Jefferson Station NY 11776-1214
Phone: (631) 681-5875
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 028169 New York

Profile Details

NPI number 1972985950
LBN Legal business name Merrick, Conan
Credentials L.M.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2015
Last updated Oct 7th, 2023 - about 2 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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