Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Norman Mickenberg, MD

Individual provider Legal Medicine · NPI 1740580406

Dr. Norman Mickenberg, MD is a Legal Medicine in Jamaica, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

18162 Tudor Rd
Jamaica, NY 11432-1447
Phone: (718) 380-0939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Legal Medicine (primary) Taxonomy 173000000X · Licence 90036 (NY)

Record details

NPI number1740580406
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 28, 2010
Last updated in NPPESOctober 28, 2010

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