Provider Demographics
NPI:1588653109
Name:MERKER, EDWARD L (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:L
Last Name:MERKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2649 STRANG BLVD STE 304
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-2938
Mailing Address - Country:US
Mailing Address - Phone:914-739-0087
Mailing Address - Fax:914-737-1714
Practice Address - Street 1:180 MARBLE AVE
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-3424
Practice Address - Country:US
Practice Address - Phone:914-769-7300
Practice Address - Fax:914-769-7328
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2016-12-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY163291207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00925966Medicaid
NY1588653109OtherNPI
NY1588653109OtherNPI
NY00925966Medicaid