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Individual

DR. AMIT MITTAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
39 COMMODORE CIR, PORT JEFFERSON STATION, NY 11776-2258
(631) 261-4400

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
NY

Other

Enumeration date
06/18/2007
Last updated
07/08/2007
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