Mitkoff, Nathan Bernard

Mitkoff, Nathan Bernard is an individual health care provider with primary practice located at 178 Washington Avenue Ext , Albany NY 12203-5304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mitkoff, Nathan Bernard can be contacted via phone (518) 262-5735.

Contact Information

Primary practice address
178 Washington Avenue Ext Albany NY 12203-5304
Phone: (518) 262-5735
Fax: (518) 262-5743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 176508-1 New York

Profile Details

NPI number 1740274604
LBN Legal business name Mitkoff, Nathan Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated May 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740274604 NPPES
New York MEDICAID 01558552

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