Individual
DR. ROBERT JAY MITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3821 BELL BLVD, BAYSIDE, NY 11361-2058
(718) 423-9300
Mailing address
3821 BELL BLVD, BAYSIDE, NY 11361-2058
(718) 423-9300
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
170698
NY
Other
Enumeration date
11/30/2006
Last updated
01/12/2011
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