Robert C Mickatavage MD PC

NPI #1720093453 in Purchase, New York

Provider Information

NPI Number: 1720093453
Entity Type: Organization
Organization Name: Robert C Mickatavage MD PC
Primary Specialty: Ophthalmology
Enumeration Date: Jul 30, 2006
Last Updated: Oct 15, 2007

Practice Location

Address: 3020 WESTCHESTER AVENUE
Address 2: # 101
City: Purchase
State: New York
ZIP Code: 10577-2562
Phone: (914) 967-4400

Authorized Official

Name: MRS. JILL K SMITH, MA
Title: CONTROLLER
Phone: (203) 778-1381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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