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

Eric Ira Mitchnick, MD

Individual provider Urology Physician · NPI 1043254469

Eric Ira Mitchnick, MD is an Urology in Port Jefferson Station, New York. Graduated from State University of New York Downstate Medical Center in 1988, 38 years ago. Practices with Integrated Medical Professionals PLLC, a 98-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
38
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2006
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

5400 Nesconset Hwy
Port Jefferson Station, NY 11776-2028
Phone: (631) 474-3000
Fax: (631) 474-2476
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 179311 (NY)

Record details

NPI number1043254469
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESApril 27, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1988 (38 years in practice)
Group practice Integrated Medical Professionals Pllc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Port Jefferson Station