Individual
MS. ANA I MERCEDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NYCPS
Contact information
Practice address
623 BROADWAY, NEW YORK, NY 10012-2606
(646) 516-9818
Mailing address
3470 FORT INDEPENDENCE ST APT 6A, BRONX, NY 10463-4594
(646) 516-9818
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
210573
NY
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
02/19/2026
Last updated
03/05/2026
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