| Doctor Name: | MR. MITCHELL NAGLER |
| NPI Number: | 1023272390 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., L.M.H.C. |
| License Number: | 18 004153 |
| Business Practice Address: | 102 Knight St Oceanside, NY - 115724611 |
| Business Phone Number: | 5163510322 |
| Business Fax Number: | 5167665975 |
| Mailing Address: | 102 Knight Street, OCEANSIDE |
| State: | NY |
| Postal Code: | 115724611 |
| Phone Number: | 5163510322 |
| Fax Number: | 5167665975 |
| NPI Enumeration Date: | 07/15/2008 |
| NPI Last Update Date: | 07/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 18 004153 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |