Individual
GERTRUDE MERCED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NORFOLK ST, 3RD FLOOR, NEW YORK, NY 10002-3301
(212) 566-8855
Mailing address
1419 BROOKSIDE DR, UNION, NJ 07083-7003
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
655010
NY
Other
Enumeration date
10/19/2012
Last updated
05/26/2015
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