Individual
STEPHANIE A MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19 W JERICHO TPKE, GOHEALTH URGENT CARE, HUNTINGTON STATION, NY 11746-3601
(631) 604-4023
(631) 604-4027
Mailing address
19 W JERICHO TPKE, HUNTINGTON STATION, NY 11746-3601
(631) 604-4023
(631) 604-4027
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015509
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04649450
—
NY
01
—
1095067
NCCPA
AZ
05
—
557306
—
AZ
Enumeration date
09/10/2010
Last updated
03/07/2023
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