| Marc E Childs, MD | |
|
185 Route 312, Brewster, NY 10509-2337 | |
| (845) 278-7000 | |
| (845) 278-4696 |
| Full Name | Marc E Childs |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 185 Route 312, Brewster, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154377380 | NPI | - | NPPES |
| 01600408 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 190679 (New York) | Primary |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc E Childs, MD 110 S Bedford Rd, Caremount Medical, Pc, Mount Kisco, NY 10549-3446 Ph: (914) 241-1050 | Marc E Childs, MD 185 Route 312, Brewster, NY 10509-2337 Ph: (845) 278-7000 |
Traci Toll-griffin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Mount Kisco Medical Group, Pc, Southeast Executive Park, 185 Route 312, Brewster, NY 10509 Phone: 845-278-7000 Fax: 914-242-1516 | |
Dr. Sherlita Nadgerine Amler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Geneva Rd, Brewster, NY 10509 Phone: 845-278-6130 Fax: 845-278-7921 | |
Dr. Virgilio A Monteleone, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 263 N Brewster Rd, Brewster, NY 10509 Phone: 845-279-5161 Fax: 845-279-5070 | |
Gary B Wenick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2050 Route 22, Suite 101, Brewster, NY 10509 Phone: 845-279-2323 Fax: 845-278-2341 | |
Ms. Anu Vatsan, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 185 Route 312, Brewster, NY 10509 Phone: 914-241-1050 Fax: 914-242-1516 |