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1093909277
NEAL IRA MITNICK
STATEN ISLAND, NY
NPI
1093909277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 042281)
Enumeration Date
2007-08-30
Last Update Date
2007-08-30
Business Address
Dr. NEAL IRA MITNICK D.D.S.
2251 VICTORY BLVD
STATEN ISLAND, NY 10314-6627
Phone number: 718-494-1492
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Mailing Address
Dr. NEAL IRA MITNICK D.D.S.
2251 VICTORY BLVD
STATEN ISLAND, NY 10314-6627
Phone number: 718-494-1492
Copy
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