Individual
DR. ELLIOTT ILYA MITNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
900 WASHINGTON RD, CREDENTIALS OFFICE, KELLER ARMY COMMUNITY HOSPITAL, WEST POINT, NY 10996-1109
(646) 327-5476
Mailing address
3620 BEDFORD AVE APT C9, BROOKLYN, NY 11210-5212
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
260547 - 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33025F
UPIN NUMBER IS VAD000
NY
Enumeration date
09/20/2011
Last updated
09/20/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us