Individual
LANAISAURA MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1158 45TH ST, BROOKLYN, NY 11219-2059
(718) 480-5566
Mailing address
3014 91ST ST, EAST ELMHURST, NY 11369-1731
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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