Mutic, Mario
Mutic, Mario is an individual health care provider with primary practice located at 170 Maple Ave Suite G1, White Plains NY 10601-4710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mutic, Mario can be contacted via phone (914) 683-0443.Contact Information
Primary practice address
170 Maple Ave Suite G1
White Plains NY 10601-4710
Phone: (914) 683-0443
Fax: (914) 683-8620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 257090 | New York |
Profile Details
| NPI number | 1083681993 |
|---|---|
| LBN Legal business name | Mutic, Mario |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Jan 13th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083681993 | NPPES |
| Alabama | Other | P00312169 | RAILROAD MEDICARE NUMBER |
| Alabama | MEDICAID | 009934086 | RAILROAD MEDICARE NUMBER |
| Alabama | Other | 51531097 | RAILROAD MEDICARE NUMBER |
| Alabama | Other | 257090 | RAILROAD MEDICARE NUMBER |
| Alabama | Other | DB8444 | RAILROAD MEDICARE NUMBER |
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