Charles Mimken, MD | |
226 W 14th St, New York, NY 10011-7201 | |
(212) 604-1800 | |
Not Available |
Full Name | Charles Mimken |
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Gender | Male |
Speciality | Internal Medicine |
Experience | 9 Years |
Location | 226 W 14th St, New York, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
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1750735684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 297395 (New York) | Primary |
Facility Name | Location | Facility Type |
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Lifetime Care Chha | Rochester, NY | Home health agency |
Rochester General Hospital | Rochester, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rochester General Hospital | 0244149474 | 892 |
Entity Name | Rochester General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
Entity Name | Icahn School Of Medicine At Mount Sinai |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568841930 PECOS PAC ID: 2264691070 Enrollment ID: O20151112000217 |
Mailing Address | Practice Location Address |
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Charles Mimken, MD 226 W 14th St, New York, NY 10011-7201 Ph: () - | Charles Mimken, MD 226 W 14th St, New York, NY 10011-7201 Ph: (212) 604-1800 |
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