Individual
ELIZABETH MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
10 ARROWOOD DR, ITHACA, NY 14850-1857
(607) 753-3705
Mailing address
3744 WESTVALE DR, CORTLAND, NY 13045-9110
(607) 753-3705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1019514
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01641996
—
NY
Enumeration date
07/10/2006
Last updated
05/01/2008
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