Mercy Adamu

Individual provider Active NPI Licensed Practical Nurse · Brooklyn, NY

NPI 1689033409 · NPPES record last updated Feb 22, 2016

Key facts

NPI
1689033409
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
324760 (NY)
Practice address
333 East 92ND Street Apt 5G
Brooklyn, NY 11212
Phone
(347) 414-5586
NPI assigned
Feb 22, 2016
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
324760NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 324760 NY Yes

Addresses

Primary practice location

333 East 92ND Street Apt 5G
Brooklyn, NY 11212

Mailing address

333 E 92ND St Apt 5G
Brooklyn, NY 11212-1204
Phone (347) 414-5586

Other identifiers

IdentifierTypeStateIssuer
324760MedicaidNY

Other providers in Brooklyn, NY

All providers in Brooklyn, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.