JOSEPH R. MERMELSTEIN, MD
Medical Practice at Victory Blvd, Staten Island, NY

License number
New York 162191
Category
Medical Practice
Type
Ophthalmology
Address
Address
2177 Victory Blvd, Staten Island, NY 10314
Phone
(718) 494-9055
(718) 494-3713 (Fax)
National Provider ID: 1285743161
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOSEPH R. MERMELSTEIN, M.D., PC

2177 Victory Blvd, Staten Island, NY 10314

Status:
Inactive
Inactive reason:
Dissolution
Registration:
Dec 8, 1986
Inactive since:
Jun 26, 2008
State ID:
1108344
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Joseph R. Mermelstein, 2177 Victory Blvd, Staten Island, NY 10314 (Physical)

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