Individual
DR. BRIAN ADAM MITZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501
(516) 663-0333
Mailing address
259 1ST ST, MINEOLA, NY 11501-3957
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036137118
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
11792013-1205
UT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
292999
NY
Other
Enumeration date
04/23/2010
Last updated
11/03/2021
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