Erica Mercurio

Individual provider Active NPI Registered Nurse · Pine Bush, NY

NPI 1669224903 · NPPES record last updated Apr 2, 2024

Key facts

NPI
1669224903
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
728680 (NY)
Practice address
3270 Route 52
Pine Bush, NY 12566-5413
Phone
(518) 860-8734
NPI assigned
Apr 2, 2024
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
728680NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 728680 NY Yes

Addresses

Primary practice location

3270 Route 52
Pine Bush, NY 12566-5413

Mailing address

3270 Route 52
Pine Bush, NY 12566-5413

Other providers in Pine Bush, NY

All providers in Pine Bush, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.