Individual
DR. AMY P MERCOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
45 N LAKE ST, BERGEN, NY 14416
(585) 494-2870
(585) 494-2260
Mailing address
PO BOX 606, BERGEN, NY 14416
(585) 494-2870
(585) 494-2260
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008349
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5752802
AETNA
NY
01
—
P010008349
BLUE CROSS BLUE SHIELD
NY
Enumeration date
07/04/2006
Last updated
09/07/2010
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