Provider Demographics
NPI:1699817163
Name:MERMELSTEIN, HINDI (MD)
Entity Type:Individual
Prefix:DR
First Name:HINDI
Middle Name:
Last Name:MERMELSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 BAYVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-1033
Mailing Address - Country:US
Mailing Address - Phone:516-829-4158
Mailing Address - Fax:516-829-4158
Practice Address - Street 1:91 BAYVIEW AVE
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-1033
Practice Address - Country:US
Practice Address - Phone:516-829-4158
Practice Address - Fax:516-336-2532
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2015-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1647232084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01256179Medicaid