Mercy Adubofour

Individual provider Active NPI Registered Nurse · Spring Valley, NY

NPI 1770962425 · NPPES record last updated May 28, 2015

Key facts

NPI
1770962425
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
699678 (NY)
Practice address
22 Oxford CT
Spring Valley, NY 10977-4527
Phone
(571) 398-7163
NPI assigned
May 28, 2015
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
699678NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 699678 NY Yes

Addresses

Primary practice location

22 Oxford CT
Spring Valley, NY 10977-4527

Mailing address

22 Oxford CT
Spring Valley, NY 10977-4527
Phone (571) 398-7163

Other providers in Spring Valley, NY

All providers in Spring Valley, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.