| Doctor Name: | ROSS FRANCIS MITTIGA |
| NPI Number: | 1215378021 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CPO |
| License Number: | |
| Business Practice Address: | 60 Fleets Point Dr Suite 3 West Babylon, NY - 117048314 |
| Business Phone Number: | 6313215000 |
| Business Fax Number: | 6313215004 |
| Mailing Address: | 60 Fleets Point Dr, Suite 3 WEST BABYLON |
| State: | NY |
| Postal Code: | 117048314 |
| Phone Number: | 6313215000 |
| Fax Number: | 6313215004 |
| NPI Enumeration Date: | 07/09/2013 |
| NPI Last Update Date: | 07/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |