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Organization
MERCY MEDICAL CENTER
Active
Organization
MERCY MEDICAL CENTER
Active
Parent organization
MERCY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY MEDICAL CENTER
Authorized official
JOHN REILLY MD (CHIEF MEDICAL OFFICER)
(516) 705-1353
Entity
Organization
Contact information
Practice address
1000 N. VILLAGE AVENUE, ROCKVILLE CENTRE, NY 11571
(516) 705-1353
(516) 705-3575
Mailing address
P.O. BOX 798, ROCKVILLE CENTRE, NY 11571
(516) 705-1353
(516) 705-3575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
178140
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02898020
—
NY
Enumeration date
03/17/2008
Last updated
01/21/2020
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