Mercer, Stephanie A

Mercer, Stephanie A is an individual health care provider with primary practice located at 19 W Jericho Tpke Gohealth Urgent Care, Huntington Station NY 11746-3601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mercer, Stephanie A can be contacted via phone (631) 604-4023.

Contact Information

Primary practice address
19 W Jericho Tpke Gohealth Urgent Care Huntington Station NY 11746-3601
Fax: (631) 604-4027
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 015509 New York

Profile Details

NPI number 1457668410
LBN Legal business name Mercer, Stephanie A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2010
Last updated Mar 7th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457668410 NPPES
Arizona Other 1095067 NCCPA
Arizona MEDICAID 557306 NCCPA
Arizona MEDICAID 04649450 NCCPA

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