Provider Demographics
NPI:1558416925
Name:ENGEL, MERRY (BS, MA)
Entity Type:Individual
Prefix:MRS
First Name:MERRY
Middle Name:
Last Name:ENGEL
Suffix:
Gender:F
Credentials:BS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MADSEN CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-3119
Mailing Address - Country:US
Mailing Address - Phone:631-331-9772
Mailing Address - Fax:631-331-2596
Practice Address - Street 1:2 MADSEN CT
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-3119
Practice Address - Country:US
Practice Address - Phone:631-331-9772
Practice Address - Fax:631-331-2596
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist