Eric Ira Mitchnick MD

NPI 1043254469 - Urology - 208800000X

NPI Details
NPI 1043254469
Gender Male
Enumeration Date 06/15/2006
Last Updated 04/27/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
5400 NESCONSET HWY
PORT JEFFERSON STATION NY, 11776-2028, US
Phone (631) 474-3000
Fax (631) 474-2476
Business Location
5400 NESCONSET HWY
PORT JEFFERSON STATION NY, 11776-2028, US
Phone (631) 474-3000
Fax (631) 474-2476
Toxanomy
Taxonomy Code 208800000X
License State New York
License Number 179311
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According to our database, Eric Ira Mitchnick MD NPI is 1043254469, taxonomy code is 208800000X and license number is 179311, license state is located at New York. Eric Ira Mitchnick MD physically located at 5400 Nesconset Hwy, Port Jefferson Station NY, 11776-2028. NPI Number Eric Ira Mitchnick MD has the Individual type.

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1043254469 NPI number is provided on an as is basis without warranty of any kind. 1043254469 is maintained by the National Plan & Provider Enumeration System. The contents of Eric Ira Mitchnick MD are for informational purposes only.