Organization
THOMAS R MITCHELL MD PC
Active
Organization
THOMAS R MITCHELL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS R MITCHELL MD (EXECUTIVE DIRECTOR)
(607) 732-1310
Entity
Organization
Contact information
Practice address
425 PENNSYLVANIA AVE, ELMIRA, NY 14904-1762
(607) 732-1310
(307) 733-0940
Mailing address
425 PENNSYLVANIA AVE, ELMIRA, NY 14904-1762
(607) 732-1310
(307) 733-0940
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
180983
NY
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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