Mercer, Katrina Denise
Mercer, Katrina Denise is an individual health care provider with primary practice located at 55 W 125Th St Fl 10 , New York NY 10027-4516. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mercer, Katrina Denise can be contacted via phone (212) 864-4128.Contact Information
Primary practice address
55 W 125Th St Fl 10
New York NY 10027-4516
Phone: (212) 864-4128
Fax: (212) 864-7987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 16719 | New York |
Profile Details
| NPI number | 1942547989 |
|---|---|
| LBN Legal business name | Mercer, Katrina Denise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2013 |
| Last updated | Jan 10th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942547989 | NPPES |
| New York | MEDICAID | 132759323 |
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