Maiman, Mitchell

Maiman, Mitchell is an individual health care provider with primary practice located at 265 Mason Ave , Staten Island NY 10305-3417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Maiman, Mitchell can be contacted via phone (718) 226-9399.

Contact Information

Primary practice address
265 Mason Ave Staten Island NY 10305-3417
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 151801 New York

Profile Details

NPI number 1073596300
LBN Legal business name Maiman, Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Nov 20th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073596300 NPPES
New York MEDICAID 00993339

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