Provider Demographics
NPI:1740093111
Name:MERCER, NATASHA ELIZABETH
Entity type:Individual
Prefix:MS
First Name:NATASHA
Middle Name:ELIZABETH
Last Name:MERCER
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 1:2304 NEWKIRK AVE APT 1A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-7527
Mailing Address - Country:US
Mailing Address - Phone:237-341-0823
Mailing Address - Fax:
Practice Address - Street 1:2304 NEWKIRK AVE APT 1A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-7527
Practice Address - Country:US
Practice Address - Phone:347-341-0823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician