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Organization
MILL BASIN MEDICAL SERVICES PC
Active
Organization
MILL BASIN MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COREY KORBA (BILLING MANAGER)
(914) 644-9276
Entity
Organization
Contact information
Practice address
222 BLOOMINGDALE RD, SUITE 400, WHITE PLAINS, NY 10605-1513
(914) 644-9276
Mailing address
3915 AVENUE V, SUITE 104, BROOKLYN, NY 11234-5156
(718) 252-8440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00725457
—
NY
Enumeration date
07/07/2006
Last updated
04/22/2008
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