Elliott Mitnik (NPI# 1881977528, PAC ID# 7517100753) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1881977528 |
| PAC ID by PECOS | 7517100753 |
| Professional Enrollment ID | I20130906000817 |
| Full Name | Elliott Mitnik |
| Organization Legal Name | ACUTE CARE SURGERY MEDICAL GROUP INC |
| Address |
19 Laurel Ave Cornwall NY 12518-1403 |
| Phone Number | 8455437711 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2006 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 7214006816 |
| Number of Group Practice Members | 85 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330264 | ST LUKE'S CORNWALL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 19 Laurel Ave, Cornwall, NY 12518-1403 | 8455437711 | ACUTE CARE SURGERY MEDICAL GROUP INC |
| 70 Dubois St, Newburgh, NY 12550-4851 | 8455614400 | ACUTE CARE SURGERY MEDICAL GROUP INC |
| Organization Legal Name | ACUTE CARE SURGERY MEDICAL GROUP INC |
| Physicians | 68 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle B Cummings | Physician Assistant | Acute Care Surgery Medical Group Inc | 460 Gidney Ave, Newburgh, NY 12550-3117 |
| Richard Addison Kline | General Surgery | Acute Care Surgery Medical Group Inc | 150 N Jackson Ave, Suite 100, San Jose, CA 95116-1908 |
| Andrew Bayci | General Surgery | Acute Care Surgery Medical Group Inc | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Leon M Simms | Physician Assistant | Acute Care Surgery Medical Group Inc | 6555 Coyle Ave, Suite 220, Carmichael, CA 95608-0303 |
| Derrick Pratte Olzack | Physician Assistant | Acute Care Surgery Medical Group Inc | 50 N Perry St, Pontiac, MI 48342-2217 |
| Jason David Pasley | General Surgery | Acute Care Surgery Medical Group Inc | 50 N Perry St, Mclaren Oakland, Pontiac, MI 48342-2217 |
| Amir A Amiri | General Surgery | Acute Care Surgery Medical Group Inc | 726 4th St, Marysville, CA 95901-5656 |
| Kelly D Gonzales | General Surgery | Acute Care Surgery Medical Group Inc | 225 N Jackson Ave, San Jose, CA 95116-1603 |
| Thomas V Robb | General Surgery | Acute Care Surgery Medical Group Inc | 19 Laurel Ave, Cornwall, NY 12518-1403 |
| Theresa Zogakis | General Surgery | Acute Care Surgery Medical Group Inc | 726 4th St, Marysville, CA 95901-5656 |
| Street Address |
19 LAUREL AVE |
| City | CORNWALL |
| State | NY |
| Zip | 12518-1403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pallavi Cherukuri | Diagnostic Radiology | West Hudson Imaging Associates Pllc | 19 Laurel Ave, Cornwall, NY 12518-1403 |
| Alexander Martynov | Interventional Radiology | West Hudson Imaging Associates Pllc | 19 Laurel Ave, Cornwall, NY 12518-1403 |
| Thomas V Robb | General Surgery | Acute Care Surgery Medical Group Inc | 19 Laurel Ave, Cornwall, NY 12518-1403 |
| John A Markisz | Diagnostic Radiology | West Hudson Imaging Associates Pllc | 19 Laurel Ave, Cornwall, NY 12518-1403 |
| Jahanara Reza | Hospitalist | 19 Laurel Ave, Cornwall, NY 12518-1403 | |
| Samuel L Rice | Diagnostic Radiology | West Hudson Imaging Associates Pllc | 19 Laurel Ave, Cornwall, NY 12518-1403 |
| Michael White | Diagnostic Radiology | West Hudson Imaging Associates Pllc | 19 Laurel Ave, Cornwall, NY 12518-1403 |
| Ramesh K Damacharla | Anesthesiology | Mid-hudson Anesthesiologists, PC. | 19 Laurel Ave, Cornwall, NY 12518-1403 |
| Alice J Looney | Nurse Practitioner | Hudson Vista Medical PC | 19 Laurel Ave, Cornwall, NY 12518-1403 |
| James V Dilorenzo Jr. | Internal Medicine | Hudson Vista Medical PC | 19 Laurel Ave, Cornwall, NY 12518-1403 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Uma B Mishra | Radiation Oncology | Orange County Radiation Oncology | 2565 Route 9w, Cornwall, NY 12518-1309 |
| Philip S Smith | Infectious Disease | 164 Willow Ave, Cornwall, NY 12518-1329 | |
| Richard M Diamond | Hematology/oncology | 164 Willow Ave, Cornwall, NY 12518-1329 | |
| Kimberly Darrigo | Nurse Practitioner | 164 Willow Ave, Cornwall, NY 12518-1329 | |
| Shana R Coplowitz | Radiation Oncology | St. Luke's Cornwall Jv, LLC | 15 Laurel Ave, Suite 100, Cornwall, NY 12518-1403 |
| Kyung B Han | Radiation Oncology | St. Luke's Cornwall Jv, LLC | 15 Laurel Ave, Suite 100, Cornwall, NY 12518-1403 |
| Hemlata Carr | Nurse Practitioner | Hudson Vista Medical,pc | 15 Laurel Ave, Cornwall, NY 12518-1403 |
| Margo S Harris | Clinical Social Worker | 21 Willow Ave, Cornwall, NY 12518-1429 | |
| Manita Sawhney | Internal Medicine | Hudson Vista Medical PC | 21 Laurel Ave, Suite 120, Cornwall, NY 12518-1462 |
| Robert Reuben Bibi | Plastic and Reconstructive Surgery | 21 Laurel Ave, Suite 130, Cornwall, NY 12518-1462 | |
| Find all physicians in zip 12518 | |||
| City | CORNWALL |
| Zip Code | 12518 |
| Specialty | GENERAL SURGERY |
| City + Specialty | CORNWALL + GENERAL SURGERY |
Please comment or provide details below to improve the information on Elliott Mitnik.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.