Individual
DR. MARK ALAN MITCHNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 THREE MILE HARBOR DR, EAST HAMPTON, NY 11937-1012
(631) 329-3255
Mailing address
80 THREE MILE HARBOR DR, EAST HAMPTON, NY 11937-1012
(631) 329-3255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A180264
NY
Other
Enumeration date
12/14/2008
Last updated
12/14/2008
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