Individual
DR. MITCHELL MAIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
265 MASON AVE, STATEN ISLAND, NY 10305-3417
(718) 226-9399
Mailing address
1 EDGEWATER ST, 6TH FL. PAYER RELATIONS, STATEN ISLAND, NY 10305-4900
(718) 226-1008
(718) 226-1039
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
151801
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00993339
—
NY
Enumeration date
11/21/2005
Last updated
11/20/2008
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