Organization · Type 2 NPI

Merriderm Dermatology PLLC

Medical Specialty Clinic/Center · Flushing, NY

NPI number 1255775227 Active

Practice location

3644 Main St # 2NDFL
Flushing, NY 11354-4143

Fax (347) 732-0691

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X266027 (NY)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1255775227

Merriderm Dermatology PLLC's National Provider Identifier is 1255775227, issued on Apr 22, 2013. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Flushing, NY. The record was last updated on Oct 6, 2025.