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Individual

DR. BARRY MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
211 CHURCH ST, SARATOGA SPRINGS, NY 12866
(518) 587-1141
Mailing address
454 MAPLE AVE, SARATOGA SPRINGS, NY 12866
(518) 587-1141
(518) 587-1152

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
143222
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01256500
NY
01
CC6612
MEDICARE
NY
Enumeration date
06/26/2006
Last updated
06/19/2018
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