Mercurio, Michael Anthony
Mercurio, Michael Anthony is an sole proprietor health care provider with primary practice located at 235 Central Ave , Silver Creek NY 14136-1221. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mercurio, Michael Anthony can be contacted via phone (716) 934-4977.Contact Information
Primary practice address
235 Central Ave
Silver Creek NY 14136-1221
Phone: (716) 934-4977
Fax: (716) 934-7036
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0459651 | New York |
Profile Details
| NPI number | 1154490928 |
|---|---|
| LBN Legal business name | Mercurio, Michael Anthony |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1154490928 | NPPES |
| New York | MEDICAID | 01664846 |
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