Individual
ROBERTA R MITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
15 E 40TH ST, 201, NEW YORK, NY 10016-0401
(212) 686-0939
Mailing address
15 E 40TH ST, 201, NEW YORK, NY 10016-0401
(212) 686-0939
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001037
NY
Other
Enumeration date
11/29/2006
Last updated
08/07/2016
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