Mickenberg, Norman

Mickenberg, Norman is an sole proprietor health care provider with primary practice located at 18162 Tudor Rd , Jamaica NY 11432-1447. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Mickenberg, Norman can be contacted via phone (718) 380-0939.

Contact Information

Primary practice address
18162 Tudor Rd Jamaica NY 11432-1447
Phone: (718) 380-0939
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 90036 New York

Profile Details

NPI number 1740580406
LBN Legal business name Mickenberg, Norman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2010
Last updated Oct 28th, 2010 - about 15 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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