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Individual

PEEYUSH MITTAL

Active
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Individual

PEEYUSH MITTAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
229846
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000416486005
BSNENY
05
00229846
NY
05
02528467
NY
05
02995513
NY
01
10079784
CDPHP
01
4144931
MVP
Enumeration date
08/04/2006
Last updated
05/13/2014
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