Healthcare Provider Details

I. General information

NPI: 1588758288
Provider Name (Legal Business Name): DAVID MERER, MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 SAW MILL RIVER RD SUITE 101
ARDSLEY NY
10502-1045
US

IV. Provider business mailing address

PO BOX 272
VALHALLA NY
10595-0272
US

V. Phone/Fax

Practice location:
  • Phone: 914-693-7636
  • Fax: 914-886-0027
Mailing address:
  • Phone: 914-693-7636
  • Fax: 914-886-0027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID MERER
Title or Position: PRESIDENT
Credential: MD
Phone: 914-693-7636