Individual provider · Type 1 NPI

Konstantin Mergold

Family Nurse Practitioner · New York, NY

NPI number 1417443151 Active

Practice location

120 E 16th St Fl 6
New York, NY 10003-2162

Call (800) 881-5101 Map

Mailing address

2630 Cropsey Ave Apt 6K
Brooklyn, NY 11214-6721

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	342597 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1417443151

Konstantin Mergold's National Provider Identifier is 1417443151, issued on Jul 5, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Jul 5, 2018.