| Eric Ira Mitchnick, MD | |
|
5400 Nesconset Hwy, Port Jefferson Station, NY 11776-2028 | |
| (631) 474-3000 | |
| (631) 474-2476 |
| Full Name | Eric Ira Mitchnick |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 38 Years |
| Location | 5400 Nesconset Hwy, Port Jefferson Station, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043254469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 179311 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Shore University Hospital | Manhasset, NY | Hospital |
| Ns/lij Hs Huntington Hospital | Huntington, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Medical Professionals Pllc | 6406868462 | 98 |
| Entity Name | Prohealth Care Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
| Entity Name | Integrated Medical Professionals Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346203536 PECOS PAC ID: 6406868462 Enrollment ID: O20060613000088 |
| Entity Name | Hudson Valley Lithotripsy Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437242781 PECOS PAC ID: 4183078603 Enrollment ID: O20231002001672 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Ira Mitchnick, MD 5400 Nesconset Hwy, Port Jefferson Station, NY 11776-2028 Ph: (631) 474-3000 | Eric Ira Mitchnick, MD 5400 Nesconset Hwy, Port Jefferson Station, NY 11776-2028 Ph: (631) 474-3000 |
Dr. Francis Gerard Martinis, M.D. Urology Medicare: Medicare Enrolled Practice Location: 5400 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-474-3000 Fax: 631-474-2476 |