Individual
ARLENE BASA MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8824 SAINT JAMES AVE, ELMHURST, NY 11373-3947
(718) 271-0455
(718) 271-0454
Mailing address
8824 SAINT JAMES AVE, ELMHURST, NY 11373-3947
(718) 271-0455
(718) 271-0454
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
231220
NY
2080P0205X
Pediatric Endocrinology Physician
Primary
231220
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02816104
—
NY
Enumeration date
11/17/2006
Last updated
03/28/2024
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