Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | X005620-01 | NY |
NPI | 1326105362 |
---|---|
Provider Name | Dr. Joseph Frank Merlo |
First Address | Bellerose, NY 11426-2629 |
Second Address | Bellerose, NY 11426-2629 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 28/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2070874 | AETNA US HEALTH CARE (01) | NY |
P1933215 | OXFORD (01) | NY |
T91452 | (02) | NY |
X4087 | BLUE CROSS BLUE SHIELD (01) | NY |