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Individual

DR. MICHAEL DEAN MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
572 ROUTE 6, SUITE 2, MAHOPAC, NY 10541
(845) 628-3530
(845) 628-3548
Mailing address
572 ROUTE 6, SUITE 2, MAHOPAC, NY 10541
(845) 628-3530
(845) 628-3548

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
162568
NY
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
162568
NY

Other

Enumeration date
06/30/2008
Last updated
03/26/2025
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