Healthcare Provider Details

I. General information

NPI: 1154230381
Provider Name (Legal Business Name): ROSEMERY MERCEDES NUNEZ CASEY OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROSMERY MERCEDES NUNEZ

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3391 RICHMOND AVE
STATEN ISLAND NY
10312-2025
US

IV. Provider business mailing address

304 E 8TH ST APT 8
NEW YORK NY
10009-5955
US

V. Phone/Fax

Practice location:
  • Phone: 718-608-9170
  • Fax: 718-608-9179
Mailing address:
  • Phone: 718-316-8569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number030218
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: