Individual
PRAVEEN K MITAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DR, DEPARTMENT OF EMERGENCY MEDICINE, MANHASSET, NY 11030-3816
(516) 562-4125
(516) 562-3680
Mailing address
300 COMMUNITY DR, DEPARTMENT OF EMERGENCY MEDICINE, MANHASSET, NY 11030-3816
(516) 562-3090
(516) 562-3680
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
273925
NY
207P00000X
Emergency Medicine Physician
C1-0008382
DE
207P00000X
Emergency Medicine Physician
MT184045
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962548636
—
DE
Enumeration date
01/30/2007
Last updated
10/08/2014
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