Individual
DR. AMANDA MERCURIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
STONY BROOK UNIVERSITY HOSPITAL, 101 NICOLLS ROAD, STONY BROOK, NY 11794-0001
(631) 444-2680
Mailing address
10 COLORADO PL, HUNTINGTON STATION, NY 11746-2605
(631) 807-1787
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
057478
NY
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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