Individual
DR. JOSHUA THEODORE MITGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 MAPLE AVE, CEDARHURST, NY 11516-2240
(516) 992-4566
(516) 992-4637
Mailing address
825 GLEN DR, WOODMERE, NY 11598-2405
(516) 569-3867
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
254767
NY
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
254767
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2008
Last updated
06/28/2017
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