Merriderm Dermatology Pllc

LBN: Merriderm Dermatology Pllc
Merriderm Dermatology Pllc is an health care organization with primary practice located at 3644 Main St # 2Ndfl , Flushing NY 11354-4105. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Merriderm Dermatology Pllc can be contacted via phone (347) 732-0690, or through Zhou, Wenhong via phone (347) 732-0690.

Contact Information

Primary practice address
3644 Main St # 2Ndfl Flushing NY 11354-4105
Fax: (347) 732-0691
Website:
Authorized official contact:
Name: Zhou, Wenhong

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 266027 New York

Profile Details

NPI number 1255775227
LBN Legal business name Merriderm Dermatology Pllc
DBA Doing business as
Authorized official Zhou, Wenhong
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2013
Last updated Nov 12th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255775227 NPPES
New York MEDICAID 03509437

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