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General NPI Number Information
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NPI Number | 1609727536
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Entity Type | Organization
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Legal Business Name | PATIENT BRIDGE HEALTH MEDICAL GROUP, P.A.
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 21212 NORTHERN BLVD FL 3
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City | BAYSIDE
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State | NY
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Zip | 11361-3388
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Country | US
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Telephone | 917-847-0810
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Fax |
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Provider Business Mailing Address
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Address Line | 21212 NORTHERN BLVD FL 3
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City | BAYSIDE
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State | NY
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Zip | 11361-3388
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Country | US
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Telephone | 917-847-0810
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PHILLIP A MITCHELL
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Credential |
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Telephone | 917-847-0810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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