Healthcare Provider Details

I. General information

NPI: 1134109754
Provider Name (Legal Business Name): RICHARD MERKLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 06/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 W 57TH ST STE 301
NEW YORK NY
10019-3148
US

IV. Provider business mailing address

400 E 56TH ST APARTMENT 6N
NEW YORK NY
10022-4147
US

V. Phone/Fax

Practice location:
  • Phone: 212-838-4715
  • Fax: 212-586-2182
Mailing address:
  • Phone: 212-838-4715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number134561
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: