Dr Matthew Anthony Mittiga, DO | |
117 Business Park Dr, Utica, NY 13502-6303 | |
(315) 798-1543 | |
(315) 798-1556 |
Full Name | Dr Matthew Anthony Mittiga |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 117 Business Park Dr, Utica, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164686192 | NPI | - | NPPES |
03332794 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 259534 (New York) | Primary |
Entity Name | Pediatric Service Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770539066 PECOS PAC ID: 9931007200 Enrollment ID: O20031223000483 |
Entity Name | Slocum Dickson Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285625996 PECOS PAC ID: 5799778510 Enrollment ID: O20040407000427 |
Entity Name | Upstate Emergency Medicine, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275589582 PECOS PAC ID: 2466443494 Enrollment ID: O20040519001106 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew Anthony Mittiga, DO 117 Business Park Dr, Utica, NY 13502-6303 Ph: (315) 798-1543 | Dr Matthew Anthony Mittiga, DO 117 Business Park Dr, Utica, NY 13502-6303 Ph: (315) 798-1543 |
Daniel Lewis Zeidner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1450 Champlin Ave, Utica Pediatrics, Utica, NY 13502 Phone: 315-732-7909 Fax: 315-793-9307 | |
Elaine Tsukayama, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 117 Business Park Dr, Utica, NY 13502 Phone: 315-798-1543 | |
Rhea Ivins, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2212 Genesee St, Utica, NY 13502 Phone: 315-734-3161 Fax: 315-734-3411 | |
Dr. Susan M Blatt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 406 Elizabeth St, Utica, NY 13501 Phone: 315-798-5747 Fax: 315-798-1057 | |
Dr. Rebecca A Deeley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Hospital Dr, Utica, NY 13502 Phone: 315-624-6000 | |
Dr. Lee Avramidis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1656 Champlin Ave, Utica, NY 13502 Phone: 315-732-1191 |