| Mitchell Tan Cabisudo, MD | |
|
3125 Route 9w Ste 204, New Windsor, NY 12553-6764 | |
| (914) 502-3998 | |
| (347) 837-0337 |
| Full Name | Mitchell Tan Cabisudo |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 25 Years |
| Location | 3125 Route 9w Ste 204, New Windsor, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801055561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 257905 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vitality Physicians Group Practice Pc | 4880879956 | 2 |
| Entity Name | Vitality Physicians Group Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023317484 PECOS PAC ID: 4880879956 Enrollment ID: O20200928000538 |
| Entity Name | Mitchell Cabisudo Physician Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235987090 PECOS PAC ID: 5294271342 Enrollment ID: O20240724004286 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Tan Cabisudo, MD 3125 Route 9w Ste 204, New Windsor, NY 12553-6764 Ph: (914) 502-3998 | Mitchell Tan Cabisudo, MD 3125 Route 9w Ste 204, New Windsor, NY 12553-6764 Ph: (914) 502-3998 |
Dr. Ludmilar Mesidor, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3125 Route 9w, Suite 204, New Windsor, NY 12553 Phone: 914-302-3998 | |
Dr. Pushpa Prabhu, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3131 Nys Route 9w, New Windsor, NY 12553 Phone: 845-561-0006 Fax: 845-561-2042 | |
Ms. Renata Nahum Krymkevich, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1 Jacqueline St, Suite 102, New Windsor, NY 12553 Phone: 845-300-1939 Fax: 845-863-0351 |