MR. John E. Mitchner, PA

NPI #1194743294 in Bay Shore, New York

Provider Information

NPI Number: 1194743294
Entity Type: Individual
Name: MR. John E. Mitchner, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 17, 2006
Last Updated: Oct 9, 2007

Practice Location

Address: 301 E MAIN ST
City: Bay Shore
State: New York
ZIP Code: 11706-8408
Phone: (631) 968-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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