National Provider Identifier

Mitchell Breitenbach

Mitchell Breitenbach is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-2723.

NPI 1063117430Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1063117430
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 04, 2023
Last Updated
April 04, 2023

Practice Location

  • 601 Elmwood Avenue Box Surg
  • Rochester, NY 14642-0001

Phone: (585) 275-2723

Mailing Address

  • 12 Mill Valley RD
  • Pittsford, NY 14534-3904

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1063117430
Entity Type
Individual
Last Name
Breitenbach
First Name
Mitchell
Mailing Street Address
12 Mill Valley RD
Mailing City
Pittsford
Mailing State
NY
Mailing ZIP Code
14534-3904
Mailing Country
US
Mailing Phone
(585) 310-9802
Practice Street Address
601 Elmwood Avenue Box Surg
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-2723
Enumeration Date
April 04, 2023
Last Updated
April 04, 2023
Sex
Male
Sole Proprietor
No
Certification Date
April 04, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)