Mercury Tisdell
Counselor in Staten Island, New York
1922892421- Practice location
- 1216 Bay St, Staten Island, NY 10305-3169
- Phone
- 718-982-4786
- Fax
- —
- Last updated
- April 8, 2025
Mercury Tisdell is a Counselor based in Staten Island, NY. Mercury Tisdell practices in Staten Island, NY. The NPI Number for Mercury Tisdell is 1922892421. The current practice location address for Mercury Tisdell is 1216 Bay St, Staten Island, NY 10305-3169 and can be reached out via phone at 718-982-4786.
Provider Profile Details
- NPI Number
- 1922892421
- Provider Name
- Mercury Tisdell
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1216 Bay St, Staten Island, NY 10305-3169
- Phone Number
- 718-982-4786
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 8, 2025
- Last Update Date
- April 8, 2025
- Certification Date
- April 8, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1216 Bay St
Staten Island, NY 10305-3169 - City
- Staten Island
- State
- New York
- Zip
- 10305-3169
- Phone Number
- 718-982-4786
Provider Business Mailing Address Details
- Address
- 225 Park Hill Ave Apt 4F
Staten Island, NY 10304-4750 - City
- Staten Island
- State
- NY
- Zip
- 10304-4750
- Phone Number
- 347-733-4664
License Information
- Taxonomy
- Counselor · 101Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselors near Staten Island, NY
View all Counselors in Staten Island →Frequently Asked Questions
What is the NPI number of Mercury Tisdell?
The NPI number of Mercury Tisdell is 1922892421. It was assigned on April 8, 2025 and is currently active in the NPPES registry.
What is the specialty of Mercury Tisdell?
Mercury Tisdell is registered under the primary taxonomy Counselor (code 101Y00000X).
Where does Mercury Tisdell practice?
The practice location is 1216 Bay St, Staten Island, NY 10305-3169. The office can be reached at 718-982-4786 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922892421 directly on the NPPES registry website.