MR. PETER L MERMELSTEIN NP NPI 1164855524

NPI Information

MR. Peter L Mermelstein, NP is an adult health nurse practitioner in Ronkonkoma, NY. MR. Peter L Mermelstein, NP NPI is 1164855524. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3505 VETERANS MEMORIAL HWY
STE C
RONKONKOMA, NY
ZIP 11779-640
Phone: (631) 676-7656
Fax: (631) 676-7648

The NPI 1164855524 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/20/2013 and was last updated on 8/20/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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