Individual
ELIZABETH MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SERVICE COORDINATOR
Contact information
Practice address
20 HOSPITAL OVAL W, VALHALLA, NY 10595
(914) 493-8719
Mailing address
1479 MACOMBS RD APT 6G, BRONX, NY 10452-2120
(347) 593-9157
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225X00000X
Occupational Therapist
Primary
027875-01
NY
Other
Enumeration date
02/15/2023
Last updated
11/08/2023
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