Breidbart, Mitchell J
Breidbart, Mitchell J is an sole proprietor health care provider with primary practice located at 724 166Th St 9A , Whitestone NY 11357-2036. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Breidbart, Mitchell J can be contacted via phone (718) 746-7704.Contact Information
Primary practice address
724 166Th St 9A
Whitestone NY 11357-2036
Phone: (718) 746-7704
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N003703 | New York |
Profile Details
| NPI number | 1871591610 |
|---|---|
| LBN Legal business name | Breidbart, Mitchell J |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Aug 1st, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871591610 | NPPES |
| New York | MEDICAID | 00869732 |
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