Individual
DR. JUN MICHAEL MITSUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
726 BROADWAY FL 3, NEW YORK, NY 10003-9580
(212) 443-1000
(212) 446-1646
Mailing address
726 BROADWAY FL 3, NEW YORK, NY 10003-9616
(212) 443-1000
(212) 446-1646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
268078
NY
Other
Enumeration date
09/08/2011
Last updated
02/28/2024
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