Individual
NEAL MITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
577 PROSPECT AVE, SUITE 1B, BROOKLYN, NY 11215-6065
(718) 369-0318
(718) 369-0290
Mailing address
PO BOX 450, NEW YORK, NY 10116-0450
(718) 369-0318
(718) 369-0290
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
136867
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00998334
—
NY
01
—
390003552
MEDICARE RAILROAD
NY
Enumeration date
07/18/2006
Last updated
04/24/2025
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