Judy Mittleman in Lake Success - Specialist

Judy Mittleman - NPI 1306810866

Judy Mittleman is a Specialist in Lake Success, New York. Judy Mittleman practices all healthcare services and medical treatments related to Specialist. The NPI Number for Judy Mittleman is 1306810866. The last update date is 2007-07-08.

Judy Mittleman's current location address is 2500 Marcus Ave, Lake Success, New York. You can contact this provider via phone number 5163581200 and fax number 5163582340. The mailing address for Judy Mittleman is 2500 Marcus Ave, Lake Success, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Judy Mittleman
Address 2500 Marcus Ave, Lake Success, New York
Phone Number 5163581200
Fax Number 5163582340
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1306810866
Provider Enumeration Date 2006-02-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2500 Marcus Ave
City Lake Success
State New York (NY)
Post Code 110421018
Phone Number 5163581200
Fax Number 5163582340

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 206015
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Judy Mittleman

What is the unique 10-digit identification code assigned to Judy Mittleman by the Centers for Medicare & Medicaid Services?

The Judy Mittleman has been issued the NPI (National Provider Identifier) 1306810866, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Judy Mittleman is physically located?

The Judy Mittleman is situated at the following address: 2500 Marcus Ave, Lake Success, NY 110421018.

What is Judy Mittleman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Judy Mittleman is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did Judy Mittleman receive its 1306810866 assignment from the Centers for Medicare & Medicaid Services?

The Judy Mittleman was assigned its 1306810866 on 2006-02-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Judy Mittleman most recently updated or revised?

The information pertaining to Judy Mittleman, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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