SearchNew York173000000X

Norman Mickenberg, M.D

NPI 1740580406 · on the registry since 2010 · sole proprietor

Practice

Address
18162 Tudor Rd
Jamaica, NY 11432
Phone
(718) 380-0939

Registry record

Primary taxonomy
173000000X
173000000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York