Individual
WILFRIDO MERCADO SY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 WILLOUGHBY STREET, BROOKLYN, NY 11201
(718) 797-2222
(718) 624-6460
Mailing address
250 WILLOUGHBY STREET, BROOKLYN, NY 11201
(718) 797-2222
(718) 624-6460
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
1100721
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00716454
—
NY
Enumeration date
01/31/2007
Last updated
07/08/2007
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