Individual
CASEY AMBER MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(347) 843-1729
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-6646
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344304
NY
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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