Provider Demographics
NPI:1114785300
Name:LONDON-PICOU, MERLITA
Entity Type:Individual
Prefix:
First Name:MERLITA
Middle Name:
Last Name:LONDON-PICOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 E 95TH ST APT 2F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-2126
Mailing Address - Country:US
Mailing Address - Phone:917-447-7969
Mailing Address - Fax:
Practice Address - Street 1:205 E 95TH ST APT 2F
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-2126
Practice Address - Country:US
Practice Address - Phone:917-447-7969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula