| Mount Pleasant Medicine-pediatrics, Pllc | |
|
183 Benic Pl Hawthorne NY 10532-1001 | |
| (914) 769-8325 | |
| (914) 769-8318 |
| Full Name | Mount Pleasant Medicine-pediatrics, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 183 Benic Pl, Hawthorne, New York |
| Authorized Official Name and Position | Joseph Miraglia (PRESIDENT) |
| Authorized Official Contact | 9147698325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Pleasant Medicine-pediatrics, Pllc 183 Benic Pl Hawthorne NY 10532-1001 Ph: (914) 769-8325 | Mount Pleasant Medicine-pediatrics, Pllc 183 Benic Pl Hawthorne NY 10532-1001 Ph: (914) 769-8325 |
| NPI Number | 1588851331 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 07/19/2013 |
| Medicare PECOS PAC ID | 1850360363 |
|---|---|
| Medicare Enrollment ID | O20040930001157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588851331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | NY225954 (New York) | Primary |
| 208000000X | Pediatrics | 225954 (New York) | Secondary |
| Provider Name | Joseph Miraglia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316985138 PECOS PAC ID: 0749259257 Enrollment ID: I20041112000825 |
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