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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114923315 | NPPES |
| New York | MEDICAID | 00425347 |
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