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Individual

LUCY MERCADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17 E 102ND ST, 7TH FLOOR, NEW YORK, NY 10029-5204
(212) 824-2344
Mailing address
746 E 218TH ST, 2ND FLOOR, BRONX, NY 10467-5804
(212) 824-2344

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
10/21/2015
Last updated
10/21/2015
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