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Mill Basin Medical Services PC

NPI 1164454658ActiveOrganization· Specialist· White Plains, NY

Specialist in White Plains, New York, registered in NPPES in July 2006. The authorized official on file is Corey Korba, Billing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1164454658
StatusActive
Entity typeOrganization
NPI issuedJul 7, 2006
Last updated in NPPESApr 22, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (NY)

Medicare sources and data years

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