Provider Demographics
NPI: | 1093700031 |
---|---|
Name: | LEMERCIER, MAUD L (MD) |
Entity type: | Individual |
Prefix: | |
First Name: | MAUD |
Middle Name: | L |
Last Name: | LEMERCIER |
Suffix: | |
Gender: | F |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 110 S BEDFORD RD |
Mailing Address - Street 2: | CARE MOUNT MEDICAL PC |
Mailing Address - City: | MOUNT KISCO |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 10549-3446 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 914-232-3135 |
Mailing Address - Fax: | 914-242-1516 |
Practice Address - Street 1: | 111 BEDFORD RD |
Practice Address - Street 2: | CARE MOUNT MEDICAL PC |
Practice Address - City: | KATONAH |
Practice Address - State: | NY |
Practice Address - Zip Code: | 10536-2115 |
Practice Address - Country: | US |
Practice Address - Phone: | 914-232-3135 |
Practice Address - Fax: | 914-242-1516 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2005-09-15 |
Last Update Date: | 2016-11-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | 236497 | 208600000X, 2086S0102X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
No | 2086S0102X | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NY | 02705806 | Medicaid | |
NY | 0826U06761 | Medicare PIN | |
NY | 02705806 | Medicaid |