Individual
DIOGENES FERMIN MERCEDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
521 W 168TH ST APT 4, NEW YORK, NY 10032-4134
(917) 403-9220
Mailing address
521 W 168TH ST APT 4, NEW YORK, NY 10032-4134
(917) 403-9220
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
14-208
NY
Other
Enumeration date
12/27/2014
Last updated
12/27/2014
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