MEDICARE: DR. DESIREE MERRELL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080A0000X	Pediatric Adolescent Medicine Physician	174782	NY

General Provider Information

NPI Number	:	1326019878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DESIREE MERRELL M.D.

Provider Business Mailing Address
First Line	:	2901 216TH ST
Second Line	:	ST. MARY'S HOSPITAL FOR CHILDREN
City	:	BAYSIDE
State	:	NY
Zip	:	11360-2810
Country	:	US
Telephone Number	:	718-281-8569
Fax Number	:	718-281-8590

Provider Business Practice Location Address
First Line	:	2901 216TH ST
Second Line	:	ST. MARY'S HOSPITAL FOR CHILDREN
City	:	BAYSIDE
State	:	NY
Zip	:	11360-2810
Country	:	US
Telephone Number	:	718-281-8569
Fax Number	:	718-281-8590

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	04/02/2015

Similar Medicare Providers

1891794798 — DR. PAUL MICHAEL BERGER-GROSS PH.D.
Practice Location Address:

2901 216TH ST
BAYSIDE, NY
11360-2810

Practice Phone: 718-281-8824
Practice Fax:

1013000504 — DR. DAWN M CUGLIETTO PSY.D.
Practice Location Address:

2901 216TH ST
BAYSIDE, NY
11360-2810

Practice Phone: 917-476-5024
Practice Fax:

1083709703 — ST. MARY'S HOSPITAL FOR CHILDREN
Practice Location Address:

2901 216TH ST
BAYSIDE, NY
11360-2810

Practice Phone: 718-281-8800
Practice Fax: 718-279-2141

1205912243 — AUDREY BETH BERMAN-DAVIDOWITZ MD
Practice Location Address:

2901 216TH ST , ST. MARY'S HOSPITAL FOR CHILDREN
BAYSIDE, NY
11360-2810

Practice Phone: 718-281-8977
Practice Fax: 718-281-8590

1376620807 — DR. EDWIN SIMPSER MD
Practice Location Address:

2901 216TH ST
BAYSIDE, NY
11360-2810

Practice Phone: 718-281-8778
Practice Fax: 718-281-8590

1851478630 — MRS. LOIS SCHROEDER WESTON R.N. C.P.N.P.
Practice Location Address:

2901 216TH ST , ST MARYS HOSPITAL FOR CHILDREN
BAYSIDE, NY
11360-2810

Practice Phone: 718-281-8800
Practice Fax: 718-281-8994

Directions to “ DR. DESIREE MERRELL M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.