# MITCHELL CABISUDO PHYSICIAN PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235987090
- **Authorized official:** DR. MITCHELL CABISUDO MD (CEO)
- **Authorized official phone:** (845) 888-6769

## Contact information

- **Practice address:** 3125 US ROUTE 9W STE 204, NEW WINDSOR, NY 12553-6764
- **Practice address phone:** (845) 888-6769
- **Practice address fax:** (518) 708-6889
- **Mailing address:** 3125 US ROUTE 9W STE 204, NEW WINDSOR, NY 12553-6764
- **Mailing address phone:** (845) 888-6769
- **Mailing address fax:** (518) 708-6889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2024
- **Last updated:** 05/07/2024