Individual
DR. MITCHELL P BUTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 FORDHAM PLZ RM 908, BRONX, NY 10458-5890
(718) 365-4044
Mailing address
PO BOX 565, CATHEDRAL STATION, NEW YORK, NY 10025
(914) 484-6513
(888) 511-7297
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
156361
NY
2084P0805X
Geriatric Psychiatry Physician
034914
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001349142
—
CT
05
—
01098746
—
NY
Enumeration date
12/16/2005
Last updated
06/26/2022
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