Individual
MRS. MERCY CRYZ KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 THREE SISTERS RD, ST JAMES, NY 11780
(631) 584-2001
(631) 584-2001
Mailing address
12 THREE SISTERS RD, ST JAMES, NY 11780
(631) 584-2001
(631) 584-2001
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
2192L001
NY
374U00000X
Home Health Aide
Primary
2192L001
NY
376J00000X
Homemaker
2192L001
NY
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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