Healthcare Provider Details

I. General information

NPI: 1144789090
Provider Name (Legal Business Name): MERLY CONTRATTO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 BELL BLVD
BAYSIDE NY
11360-2053
US

IV. Provider business mailing address

175 BROADHOLLOW RD STE 150
MELVILLE NY
11747-4909
US

V. Phone/Fax

Practice location:
  • Phone: 718-225-6464
  • Fax: 718-229-7333
Mailing address:
  • Phone: 616-386-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number318984
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2025-03999
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: