Provider Demographics
NPI:1881191690
Name:MERZEL, DEENA ELIANA (MD)
Entity Type:Individual
Prefix:DR
First Name:DEENA
Middle Name:ELIANA
Last Name:MERZEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DEENA
Other - Middle Name:ELIANA
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:111 E 210TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2401
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 E 210TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2401
Practice Address - Country:US
Practice Address - Phone:718-741-2332
Practice Address - Fax:718-515-5426
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program