Individual
MRS. KIMBERLY MERCADO-REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 N CLINTON ST, CENTER MORICHES, NY 11934-1923
(631) 418-5386
Mailing address
102 N CLINTON ST, CENTER MORICHES, NY 11934-1923
(631) 418-5386
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
626496
NY
Other
Enumeration date
02/28/2010
Last updated
02/28/2010
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