Individual
MITCHELL WALTER DUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
33 W 42ND ST, COLLEGE OF OPTOMETRY, NEW YORK, NY 10036-8005
(212) 938-5818
Mailing address
283 MAIN STREET, NELSONVILLE, NY 10516-1406
(845) 265-4048
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004570-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00744394
—
NY
Enumeration date
11/30/2006
Last updated
12/20/2010
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