Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Merrick Blvd Medical PC

Organization Primary Care Clinic/Center · NPI 1366569881

Merrick Blvd Medical PC is a Primary Care Clinic/Center in Valley Stream, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

787 W Merrick Rd
Valley Stream, NY 11580-4828
Phone: (516) 284-6253
Fax: (516) 284-6255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 185993 (NY)

Record details

NPI number1366569881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yvan Mardy — Physician President · (516) 284-6253
NPI enumeratedMarch 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing address787 West Merrick Rd, Valley Stream, NY 11580-4828

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