| Mercy Healthcare Pllc | |
|
2457 E Main St Unit 105 Waterbury CT 06705-2685 | |
| (347) 475-2801 | |
| Not Available |
| Full Name | Mercy Healthcare Pllc |
|---|---|
| Speciality | General Practice |
| Location | 2457 E Main St Unit 105, Waterbury, Connecticut |
| Authorized Official Name and Position | Nanik Ram Manchandani (PRESIDENT) |
| Authorized Official Contact | 3474752801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Healthcare Pllc 955 Coney Island Ave Apt 101 Brooklyn NY 11230-1400 Ph: (347) 475-2801 | Mercy Healthcare Pllc 2457 E Main St Unit 105 Waterbury CT 06705-2685 Ph: (347) 475-2801 |
| NPI Number | 1619551637 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 06/25/2021 |
| Medicare PECOS PAC ID | 5799187605 |
|---|---|
| Medicare Enrollment ID | O20210715000794 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619551637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Nanik R Manchandani |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1013164854 PECOS PAC ID: 1052574936 Enrollment ID: I20130812000428 |
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