National Provider Identifier
Marc Brett Mishkin, MD
Marc Brett Mishkin, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Brockport, NY and a listed phone number of (585) 637-3905.
Profile Overview
- NPI
- 1609982768
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- August 22, 2006
- Last Updated
- May 18, 2015
Practice Location
- 300 West Ave
- Brockport, NY 14420-1118
Phone: (585) 637-3905
Mailing Address
- 745 Post RD
- The Healthy Child
- Darien, CT 06820
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1609982768
- Entity Type
- Individual
- Last Name
- Mishkin
- First Name
- Marc
- Middle Name
- Brett
- Credential
- MD
- Mailing Street Address
- 745 Post RD
- Mailing Address Line 2
- The Healthy Child
- Mailing City
- Darien
- Mailing State
- CT
- Mailing ZIP Code
- 06820
- Mailing Country
- US
- Mailing Phone
- (203) 655-6000
- Mailing Fax
- (203) 655-6003
- Practice Street Address
- 300 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1118
- Practice Country
- US
- Practice Phone
- (585) 637-3905
- Practice Fax
- (585) 637-4990
- Enumeration Date
- August 22, 2006
- Last Updated
- May 18, 2015
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 10449602 (NY, Caqh #)