Individual
DR. RAINER N MITTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1655 HAMMERSLEY AVE FL 2, BRONX, NY 10469-3113
(212) 305-5030
Mailing address
1655 HAMMERSLEY AVE FL 2, BRONX, NY 10469-3113
(212) 305-5030
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
113621
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00206964
—
NY
Enumeration date
09/02/2005
Last updated
08/24/2022
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