Swatantra Mitta, | |
942a Route 146, Clifton Park, NY 12065-3614 | |
(518) 371-8000 | |
(518) 371-5338 |
Full Name | Swatantra Mitta |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 942a Route 146, Clifton Park, 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 |
---|---|---|---|
1871683417 | NPI | - | NPPES |
00492017 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 133074 (New York) | Primary |
Entity Name | Community Care Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922048370 PECOS PAC ID: 8022904473 Enrollment ID: O20080130000272 |
Mailing Address | Practice Location Address |
---|---|
Swatantra Mitta, 711 Troy Schenectady Rd, Suite 203, Latham, NY 12110-2442 Ph: (518) 782-3700 | Swatantra Mitta, 942a Route 146, Clifton Park, NY 12065-3614 Ph: (518) 371-8000 |
Dr. Kristen L Compa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 942a Route 146, Clifton Park, NY 12065 Phone: 518-371-8000 Fax: 518-371-5338 | |
Ying Chen, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1735 Route 9, Clifton Park, NY 12065 Phone: 518-371-5437 | |
Dr. Arsenio George Pascual, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 942a Route 146, Clifton Park, NY 12065 Phone: 518-371-8000 Fax: 518-371-5338 | |
Holly Denise Payne, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Tallow Wood Dr, Clifton Park, NY 12065 Phone: 518-688-0295 | |
Dr. Shenelle R. Gaston, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 942a Route 146, Clifton Park, NY 12065 Phone: 518-371-8000 Fax: 518-371-5338 | |
Dr. Kimberly Karol Elmer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 532 Moe Rd, Clifton Park, Clifton Park, NY 12065 Phone: 518-383-2425 Fax: 518-383-3255 | |
Beulah Puthuparampil-mehta, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 942a Route 146, Clifton Park, NY 12065 Phone: 518-371-8000 Fax: 518-371-5338 |