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Mitchell Hillel Dittus, MD
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1811573538

Mitchell Hillel Dittus is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Mitchell Hillel Dittus practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Mitchell Hillel Dittus is 1811573538 and holds a License No. (New York).

The current practice location address for Mitchell Hillel Dittus is 101 Nicolls Rd Rm 20, Stony Brook, NY and can be reached out via phone at 631-444-7411 and via fax at 631-444-2493.

Location: 101 Nicolls Rd Rm 20, Stony Brook, NY, 11794-8160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811573538
Provider Name
Mitchell Hillel Dittus
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 Nicolls Rd Rm 20, Stony Brook, NY, 11794-8160
Phone Number
631-444-7411
Fax Number
631-444-2493
Provider Enumeration Date
03/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd Rm 20
City
Stony Brook
State
New York
Zip
11794-8160
Phone Number
631-444-7411
Fax Number
631-444-2493
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd Rm 20
City
Stony Brook
State
New York
Zip
11794-8160
Phone Number
631-444-7411
Fax Number
631-444-2493
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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