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Individual
MITCHEL JOSEPH ROUSSEAU
Active
Individual
MITCHEL JOSEPH ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
084849
CT
2084P0800X
Psychiatry Physician
340529
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
64666
NY
Other
Enumeration date
03/28/2022
Last updated
07/22/2026
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