Individual
MITCHELL TAN CABISUDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3125 ROUTE 9W STE 204, NEW WINDSOR, NY 12553-6764
(914) 502-3998
(347) 837-0337
Mailing address
3125 ROUTE 9W STE 204, NEW WINDSOR, NY 12553-6764
(914) 502-3998
(347) 837-0337
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
257905
NY
Other
Enumeration date
06/06/2008
Last updated
05/20/2021
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