Organization
MERVILUS-BIGORD NP IN FAMILY HEALTH, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA MERVILUS-BIGORD NP (CEO)
(347) 881-5586
Entity
Organization
Contact information
Practice address
135 VANDERBILT AVE, STATEN ISLAND, NY 10304-2604
(718) 447-0701
Mailing address
333 DRAKE AVE, ROSELLE, NJ 07203-1413
(347) 881-5586
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
02/14/2023
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