Individual
JON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4622 AVENUE L, BROOKLYN, NY 11234-3113
(718) 252-6378
Mailing address
4622 AVENUE L, BROOKLYN, NY 11234-3113
(718) 252-6378
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
481160668
NY
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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