Individual
MINA MIKHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 EAST 210TH STREET, BRONX, NY 10467
(718) 920-4321
Mailing address
6201 GREENLEIGH AVE FL 2, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0100769
MD
Other
Enumeration date
03/27/2020
Last updated
07/09/2024
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