Provider Demographics
NPI:1528070505
Name:MERCANDO, ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:MERCANDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:210 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2901
Mailing Address - Country:US
Mailing Address - Phone:914-681-3146
Mailing Address - Fax:914-682-6403
Practice Address - Street 1:688 WHITE PLAINS ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5015
Practice Address - Country:US
Practice Address - Phone:914-722-6300
Practice Address - Fax:914-722-2133
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY146456207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY56D111OtherEMPIRE BLUE CROSS
0181217OtherLOCAL 1199
9600851OtherGHI PPO CBP
NY0H4154OtherHEALTH NET
NY146456OtherHIP
WS409OtherOXFORD
000000028283OtherGHI HMO
NY60032651OtherRAILROAD MEDICARE
NY00937100Medicaid
683819OtherUNITED HEALTHCARE
2024791009OtherCIGNA
10355OtherCONTRACT MANAGEMENT ORG
000000028283OtherGHI HMO
NY60032651OtherRAILROAD MEDICARE