Individual
MITHUN KAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17750 106TH RD FL 2, JAMAICA, NY 11433-1807
(347) 935-4194
Mailing address
17750 106TH RD FL 2, JAMAICA, NY 11433-1807
(347) 935-4194
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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