33D1088975 CLIA NUMBER - MERGIE DESIR MD, MPH, PLLC

Laboratory Demographics

CLIA Number: 33D1088975

Facility Name: MERGIE DESIR MD, MPH, PLLC

Facility Address:
75-80 184TH STREET
FRESH MEADOWS, NY
ZIP 11366
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Facility Phone Number: 718 805-1215

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1053360743

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	33D1088975
LAB Type	Physician Office
Facility Name	MERGIE DESIR MD, MPH, PLLC
Street	75-80 184TH STREET
City	FRESH MEADOWS
State	NY
ZIP	11366
Phone	718 805-1215
CertificateType	4
CertificateEffectiveDate	9/9/2022
CertificateExpirationDate	9/8/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024