Locke, Mitchell R

Locke, Mitchell R is an individual health care provider with primary practice located at 410 Lakeville Rd Suite 209, Lake Success NY 11042-1101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Locke, Mitchell R can be contacted via phone (516) 488-5050.

Contact Information

Primary practice address
410 Lakeville Rd Suite 209 Lake Success NY 11042-1101
Phone: (516) 488-5050
Fax: (516) 326-6252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 199280 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 199280 New York

Profile Details

NPI number 1518954726
LBN Legal business name Locke, Mitchell R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Aug 14th, 2023 - about last year

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.

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