Individual
DR. WILLIAM JOSEPH MITRUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC CCSP
Contact information
Practice address
745 TERRY RD, HAUPPAUGE, NY 11788-3459
(631) 665-6881
(631) 961-0410
Mailing address
745 TERRY RD, HAUPPAUGE, NY 11788-3459
(631) 665-6881
(631) 961-0410
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X009709
NY
Other
Enumeration date
05/10/2006
Last updated
01/11/2010
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