| Harrison F. Mitchell, M.d.,p.c | |
|
2368 Adam Clayton Powell Jr Blvd New York NY 10030-2250 | |
| (212) 690-3200 | |
| (212) 690-1298 |
| Full Name | Harrison F. Mitchell, M.d.,p.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 2368 Adam Clayton Powell Jr Blvd, New York, New York |
| Authorized Official Name and Position | Harrison F Mitchell (CHAIRMAN) |
| Authorized Official Contact | 2126903200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrison F. Mitchell, M.d.,p.c 2368 Adam Clayton Powell Jr Blvd New York NY 10030-2250 Ph: (212) 690-3200 | Harrison F. Mitchell, M.d.,p.c 2368 Adam Clayton Powell Jr Blvd New York NY 10030-2250 Ph: (212) 690-3200 |
| NPI Number | 1568633659 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 04/08/2008 |
| Medicare PECOS PAC ID | 6507828886 |
|---|---|
| Medicare Enrollment ID | O20041029000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568633659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 193957 (New York) | Primary |
| Provider Name | Harrison F Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629134622 PECOS PAC ID: 8921060377 Enrollment ID: I20041028000871 |
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