Individual
DR. BERTRAM MAURICE MITCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2126 MERRICK MALL, MERRICK, NY 11566-3626
(516) 546-4800
Mailing address
669 HARRISON AVE, EAST MEADOW, NY 11554-4422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV002298-1
NY
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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