Francisco Manuel Mercado Bolivar
Individual provider Active NPI Military Health Care Provider · East Moriches, NY
NPI 1174334353 · NPPES record last updated Jan 16, 2025
Key facts
- NPI
- 1174334353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Military Health Care Provider 171000000X
- Practice address
- 100 Moriches Island Rd
East Moriches, NY 11940-1315 - Phone
- (516) 369-2357
- NPI assigned
- Jan 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | Yes |
Addresses
Primary practice location
100 Moriches Island Rd
East Moriches, NY 11940-1315
Mailing address
100 Moriches Island Rd
East Moriches, NY 11940-1315
Phone (516) 369-2357
Other providers in East Moriches, NY
- William C McConnell
- Cynthia Lynn McDonald
- Dhiren Chhotalal Mehta
- Ranjana D Mehta
- Stuart J Menis
- Jason Meyer
- Regina G Muir
- Tia Marie Rose Murphy
- Amy Margaret Nardi
- Carolyn Ann Niebuhr
All providers in East Moriches, NY · Military Health Care Provider in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.