| NPI | 1770597395 |
|---|---|
| Other Name | MERCY MEDICAL CENTER-PHYSICIAN EXTENDERS |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE BRATHWAITE Credentials Director 516-705-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |