Organization
RAINER N MITTL OPHTHALMOLOGIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAINER N MITTL MD (OPHTHALMOLOGIST)
(212) 305-5030
Entity
Organization
Contact information
Practice address
1655 HAMMERSLEY AVE FL 2, BRONX, NY 10469-3113
(212) 305-5030
Mailing address
1655 HAMMERSLEY AVE FL 2, BRONX, NY 10469-3113
(212) 305-5030
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
113621
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00206964
—
NY
Enumeration date
03/04/2008
Last updated
08/24/2022
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