Mitchnick, Eric Ira
Mitchnick, Eric Ira is an individual health care provider with primary practice located at 5400 Nesconset Hwy , Port Jefferson Station NY 11776-2028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mitchnick, Eric Ira can be contacted via phone (631) 474-3000.Contact Information
Primary practice address
5400 Nesconset Hwy
Port Jefferson Station NY 11776-2028
Phone: (631) 474-3000
Fax: (631) 474-2476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 179311 | New York |
Profile Details
| NPI number | 1043254469 |
|---|---|
| LBN Legal business name | Mitchnick, Eric Ira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Apr 27th, 2012 - about 13 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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