Mitgang, Charles Allen

Mitgang, Charles Allen is an sole proprietor health care provider with primary practice located at 371 Merrick Rd Ste 302, Rockville Centre NY 11570-5301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mitgang, Charles Allen can be contacted via phone (516) 678-5555.

Contact Information

Primary practice address
371 Merrick Rd Ste 302 Rockville Centre NY 11570-5301
Phone: (516) 678-5555
Fax: (516) 678-9128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 127551 New York

Profile Details

NPI number 1114923315
LBN Legal business name Mitgang, Charles Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Jun 11th, 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 1114923315 NPPES
New York MEDICAID 00425347

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