| Mercy Medical Center | |
|
1000 N. Village Avenue Rockville Centre NY 11571 | |
| (516) 705-1353 | |
| (516) 705-3575 |
| Full Name | Mercy Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 N. Village Avenue, Rockville Centre, New York |
| Authorized Official Name and Position | John Reilly (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 5167051353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Medical Center P.o. Box 798 Rockville Centre NY 11571 Ph: (516) 705-1353 | Mercy Medical Center 1000 N. Village Avenue Rockville Centre NY 11571 Ph: (516) 705-1353 |
| NPI Number | 1104097294 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 01/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104097294 | NPI | - | NPPES |
| 02898020 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 178140 (New York) | Primary |
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