Traci Toll-griffin, MD | |
Mount Kisco Medical Group, Pc, Southeast Executive Park, 185 Route 312, Brewster, NY 10509 | |
(845) 278-7000 | |
(914) 242-1516 |
Full Name | Traci Toll-griffin |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | Mount Kisco Medical Group, Pc, Brewster, 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 |
---|---|---|---|
1063467520 | NPI | - | NPPES |
02153088 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 214615 (New York) | Primary |
Entity Name | Optum Medical Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
Mailing Address | Practice Location Address |
---|---|
Traci Toll-griffin, MD Mount Kisco Medical Group, Pc, 90 South Bedford Road, Mount Kisco, NY 10549-3412 Ph: (914) 241-1050 | Traci Toll-griffin, MD Mount Kisco Medical Group, Pc, Southeast Executive Park, 185 Route 312, Brewster, NY 10509 Ph: (845) 278-7000 |
Marc E Childs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 185 Route 312, Brewster, NY 10509 Phone: 845-278-7000 Fax: 845-278-4696 | |
Dr. Sherlita Nadgerine Amler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Geneva Rd, Brewster, NY 10509 Phone: 845-278-6130 Fax: 845-278-7921 | |
Dr. Virgilio A Monteleone, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 263 N Brewster Rd, Brewster, NY 10509 Phone: 845-279-5161 Fax: 845-279-5070 | |
Gary B Wenick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2050 Route 22, Suite 101, Brewster, NY 10509 Phone: 845-279-2323 Fax: 845-278-2341 | |
Ms. Anu Vatsan, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 185 Route 312, Brewster, NY 10509 Phone: 914-241-1050 Fax: 914-242-1516 |