Individual
CARLA MERCOGLIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5509 MERRICK RD, MASSAPEQUA, NY 11758-6215
(516) 541-8933
Mailing address
5509 MERRICK RD, MASSAPEQUA, NY 11758-6215
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
009270
NY
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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