Organization
KATHERINE MERCHANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE MERCHANT LPN (LPN)
(631) 879-7045
Entity
Organization
Contact information
Practice address
22 MORICHES AVE, MASTIC, NY 11950-3835
(631) 879-7045
Mailing address
22 MORICHES AVE, MASTIC, NY 11950-3835
(631) 879-7045
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
255969
NY
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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