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 - Child & Adolescent Psychiatry |
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 | This clinic does not participate in Medicare Program. |
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 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235987090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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