Provider Demographics
NPI:1669446399
Name:CAIRO, MITCHELL S (MD)
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:S
Last Name:CAIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:50 PLAZA WEST
Mailing Address - Street 2:MUNGER PAVILION, ROOM 110
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595
Mailing Address - Country:US
Mailing Address - Phone:914-594-3650
Mailing Address - Fax:914-594-3803
Practice Address - Street 1:19 BRADHURST AVE
Practice Address - Street 2:SUITE 800
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532
Practice Address - Country:US
Practice Address - Phone:914-594-3650
Practice Address - Fax:914-594-3803
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2178982080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400046285OtherMEDICARE PTAN
NYA400046286OtherMEDICARE PTAN
NY02094604Medicaid