Mitchell Cabisudo Physician Pc | |
3125 Us Route 9w Ste 204 New Windsor NY 12553-6764 | |
(845) 888-6769 | |
(518) 708-6889 |
Full Name | Mitchell Cabisudo Physician Pc |
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Speciality | Psychiatry & Neurology |
Location | 3125 Us Route 9w Ste 204, New Windsor, New York |
Authorized Official Name and Position | Mitchell Cabisudo (CEO) |
Authorized Official Contact | 8458886769 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mitchell Cabisudo Physician Pc 3125 Us Route 9w Ste 204 New Windsor NY 12553-6764 Ph: (845) 888-6769 | Mitchell Cabisudo Physician Pc 3125 Us Route 9w Ste 204 New Windsor NY 12553-6764 Ph: (845) 888-6769 |
NPI Number | 1235987090 |
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Provider Enumeration Date | 05/07/2024 |
Last Update Date | 05/07/2024 |
Certification Date | 05/07/2024 |
Medicare PECOS PAC ID | 5294271342 |
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Medicare Enrollment ID | O20240724004286 |
Identifier | Type | State | Issuer |
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1235987090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
Provider Name | Mitchell T Cabisudo |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1801055561 PECOS PAC ID: 2365627494 Enrollment ID: I20110505000255 |
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