Mitchell R Price, MD | |
378 Seaview Ave, Staten Island, NY 10305-2200 | |
(718) 226-4980 | |
Not Available |
Full Name | Mitchell R Price |
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Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 378 Seaview Ave, Staten Island, 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 |
---|---|---|---|
1083721583 | NPI | - | NPPES |
03524045 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 172041 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
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Mitchell R Price, MD 378 Seaview Ave, Staten Island, NY 10305-2200 Ph: (718) 226-1850 | Mitchell R Price, MD 378 Seaview Ave, Staten Island, NY 10305-2200 Ph: (718) 226-4980 |
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