Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MITCHELL GARY PROFFMAN, D.C.
Active Sole ProprietorDR. MITCHELL GARY PROFFMAN, D.C. is a Sports Physician (Chiropractor) healthcare provider located in FLUSHING, New York. NPI 1649326661 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · FLUSHING, NY
Registration Details
- NPI Number
- 1649326661
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2007 (19.369399735641 yrs)
- Last Updated
- Jul 8, 2007
- License
-
X2684 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14402 69TH AVEFLUSHING, NY, 113671710Browse NY providers · Browse ZIP 11367
- Phone
- 7182689080
- Fax
- 7185442381
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
Other Sports Physician (Chiropractor) Providers in FLUSHING, NY
| Name | Credential | NPI |
|---|---|---|
| HAK-SOO BAE | D.C | 1265525828 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.