Individual
JAVIER MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRPA
Contact information
Practice address
754 E 151ST ST, BRONX, NY 10455-3267
(929) 342-9382
Mailing address
153 SURF DR # PD, BRONX, NY 10473-2491
(347) 352-2435
(917) 473-6306
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-5018
NY
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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