Organization
NIRANJAN K MITTAL, PHYSICIAN, PLLC
Active
Other names
NEW YORK PET AND CTA IMAGING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
NIRANJAN KUMAR MITTAL MD (OWNER)
(718) 439-5111
Entity
Organization
Contact information
Practice address
7404 5TH AVE, BROOKLYN, NY 11209-2704
(718) 439-5111
(866) 790-3506
Mailing address
7404 5TH AVENUE, BROOKLYN, NY 11209-2704
(718) 439-5111
(866) 790-3506
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
162509
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02757904
—
NY
01
—
1Z7734
NJ MEDICARE
NJ
Enumeration date
06/11/2006
Last updated
02/07/2022
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