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Individual

DR. MITCHELL F. BANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
555 BROADHOLLOW ROAD SUITE 107, MELVILLE, NY 11747
(631) 414-7272
(631) 414-7273
Mailing address
555 BROADHOLLOW ROAD SUITE 107, MELVILLE, NY 11747
(631) 414-7272
(631) 414-7273

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
141580
NY

Other

Enumeration date
06/13/2006
Last updated
05/02/2013
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