Organization
DANIEL MERCADO PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL MERCADO (PRESIDENT)
(201) 667-6971
Entity
Organization
Contact information
Practice address
17561 HILLSIDE AVE STE 400, JAMAICA, NY 11432-5769
(917) 830-4981
Mailing address
17561 HILLSIDE AVE STE 400, JAMAICA, NY 11432-5769
(917) 830-4982
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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