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NPI Code Detail

MEDICARE: MARIA ELENA MERCURIO L.C.S.W.,B.C.D.

MEDICARE:   MARIA ELENA MERCURIO  L.C.S.W.,B.C.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerR023144-1NY

General Provider Information

NPI Number : 1013035328
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ELENA MERCURIO L.C.S.W.,B.C.D.
Provider Business Mailing Address
First Line : 62 W 62ND ST
Second Line : SUITE 9-C
City : NEW YORK
State : NY
Zip : 10023-7000
Country : US
Telephone Number : 212-582-9553
Fax Number :
Provider Business Practice Location Address
First Line : 62 W 62ND ST
Second Line : SUITE 9C
City : NEW YORK
State : NY
Zip : 10023-7000
Country : US
Telephone Number : 212-582-9553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 08/24/2011

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Directions to “ MARIA ELENA MERCURIO L.C.S.W.,B.C.D.” Practice Location

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