Individual
VITO ANTHONY MERCURIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
285 SILLS RD, BUILDING #14, EAST PATCHOGUE, NY 11772-4869
(631) 447-8300
(631) 447-8872
Mailing address
285 SILLS RD, BUILDING #14, EAST PATCHOGUE, NY 11772-4869
(631) 447-8300
(631) 447-8872
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1880531
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01776530
—
NY
Enumeration date
04/22/2006
Last updated
02/26/2021
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