Organization
ARLENE B. MERCADO, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRA B. MERCADO-CAPISTRANO M.D. (CLINIC MANAGER)
(718) 271-0455
Entity
Organization
Contact information
Practice address
8824 SAINT JAMES AVE, ELMHURST, NY 11373-3947
(718) 271-0455
(718) 271-0454
Mailing address
8824 SAINT JAMES AVE, ELMHURST, NY 11373-3947
(718) 271-0455
(718) 271-0454
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
231220-1
NY
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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