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NPI Profile for MITCHELL GANTMAN in NEW HYDE PARK, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI # | 1285884031 |
|
| Status | Active | |
| Credentials | OPTICIAN | |
| Entity | Individual | |
| Enumeration date | 09/29/2008 | |
| Last updated | 03/12/2009 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MITCHELL GANTMAN
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MITCHELL GANTMAN, OPTICIAN