Individual
FRANCISCO MANUEL MERCADO BOLIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MORICHES ISLAND RD, EAST MORICHES, NY 11940-1315
(516) 369-2357
Mailing address
100 MORICHES ISLAND RD, EAST MORICHES, NY 11940-1315
(516) 369-2357
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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