Individual
MARK A. MIKHITARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3876
(516) 562-4677
(516) 562-1379
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3876
(516) 562-4677
(516) 562-1379
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
296858
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
296858
NY
Other
Enumeration date
06/19/2017
Last updated
11/17/2023
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