Individual
DR. VANESSA MARIA V MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 N BROADWAY, SLEEPY HOLLOW, NY 10591-1020
(914) 493-8558
(914) 493-1488
Mailing address
22 SAW MILL RIVER RD, 2ND FLOOR, HAWTHORNE, NY 10532-1533
(914) 493-8558
(914) 493-1488
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
230008
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02867361
—
NY
01
—
A400066533
MEDICARE PTAN
NY
Enumeration date
03/01/2007
Last updated
08/04/2015
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