NPI 1164454658

Mill Basin Medical Services PC

Organisation Specialist White Plains, NY

Practice location

Address: 222 Bloomingdale Rd Suite 400, White Plains, NY 10605-1513
Phone: (914) 644-9276
Mailing address: 3915 Avenue V Suite 104, Brooklyn, NY 11234-5156

Authorised official

Name: Corey Korba
Title: Billing Manager
Phone: (914) 644-9276

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1164454658
Entity type: Organization
NPI issued: 7 Jul 2006
Record last updated: 22 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.