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Individual

MERCY J KOLLEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
750 TILDEN ST, BRONX, NY 10467-6013
(347) 637-8379
Mailing address
135-46 GRAND CENTRAL PARKWAY, SUITE 4B, BRIARWOOD, NY 11435-1088
(347) 637-8379

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
722289
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406101
NY

Other

Enumeration date
07/16/2024
Last updated
07/29/2024
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