Individual
MIKE MCBILES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
427 GUY PARK AVE, AMSTERDAM, NY 12010-1054
(518) 841-7203
Mailing address
PO BOX 130, LATHAM, NY 12110-0130
(518) 786-1291
(518) 786-1293
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
237563
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02688255
—
NY
Enumeration date
10/31/2005
Last updated
07/08/2007
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