Bazan, Mercedes

Bazan, Mercedes is an sole proprietor health care provider with primary practice located at 669 Castleton Ave , Staten Island NY 10301-2028. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Bazan, Mercedes can be contacted via phone (718) 354-5502.

Contact Information

Primary practice address
669 Castleton Ave Staten Island NY 10301-2028
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1821732660
LBN Legal business name Bazan, Mercedes
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2022
Last updated Apr 27th, 2022 - about 2 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.

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