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Individual

JOHN B MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
291 WALL ST, KINGSTON, NY 12401-3849
(845) 339-3736
(845) 339-3736
Mailing address
291 WALL ST, KINGSTON, NY 12401-3849
(845) 339-3736
(845) 339-3736

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
199536
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019797803
NY
Enumeration date
05/03/2006
Last updated
10/12/2015
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