Individual
DR. KENNETH A MERCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
422 2ND AVE, NEW YORK, NY 10010-4002
(212) 684-6684
Mailing address
3901 INDEPENDENCE AVE, APT 1M, BRONX, NY 10463-1275
(718) 853-0953
(718) 853-0953
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
210817
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01893012
—
NY
Enumeration date
08/02/2005
Last updated
06/30/2016
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