Individual
JERALDINE MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3459 VERNON BLVD UNIT 2F, ASTORIA, NY 11106-5184
(916) 280-6481
Mailing address
3459 VERNON BLVD UNIT 2F, ASTORIA, NY 11106-5184
(916) 280-6481
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
804121
NY
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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