Individual
MIKHAIL ITINGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
68 HARRIS BUSHVILLE RD, HARRIS, NY 12742-1000
(845) 794-0996
(845) 794-3347
Mailing address
68 HARRIS BUSHVILLE RD, HARRIS, NY 12742-1000
(845) 794-0996
(845) 794-3347
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
245080
NY
207X00000X
Orthopaedic Surgery Physician
OS015048
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03345517
—
NY
Enumeration date
05/30/2007
Last updated
07/21/2022
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