Jeremy R Merchant

NPI # 

Practice Address:

114 Lily Pond Ave

Staten Island, NY, 10305-3753

Practice Phone:

347-421-0468

License Number:

351405

License State:

NY

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Family

Taxonomy Code:

363LF0000X

Updated by NPPES on 9/30/2024. You can view the original data set for NPI # 1770301731 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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