Organization
MERCY MEDICAL CENTER
Active
Other names
Mercy Medical Center-Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE BRATHWAITE (CREDENTIALS DIRECTOR)
(516) 705-1353
Entity
Organization
Contact information
Practice address
1000 N. VILLAGE AVENUE, ROCKVILLE CENTRE, NY 11571
(516) 705-1353
Mailing address
P.O BOX 798, ROCKVILLE CENTRE, NY 11570
(516) 705-1353
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
05/29/2008
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