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DR. MITCHELL GARY PROFFMAN D.C.
NPI 1649326661
Chiropractor - Sports Physician in Flushing, NY

Active since January 25, 2007
14402 69TH AVE, FLUSHING, NY 11367(718) 268-9080(718) 544-2381 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mitchell Gary Proffman D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MITCHELL GARY PROFFMAN D.C. (NPI 1649326661) is an individual sports physician in Flushing, New York, licensed in New York (X2684) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1649326661
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. MITCHELL GARY PROFFMANCredential: D.C.
Location Address14402 69TH AVEFlushing, NY 11367-1710
Mailing Address14402 69th AveFlushing, NY 11367-1710 · (718) 268-9080 · Fax (718) 544-2381
Phone(718) 268-9080
Fax(718) 544-2381
Sole ProprietorYes
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649326661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in NY · X2684
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
14402 69TH AVE, Flushing, NY 11367
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Other Identifiers 1

Medicare ID-Type Unspecified54133NY · Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitchell Proffman's NPI number?

The NPI number for Mitchell Proffman is 1649326661. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Mitchell Proffman located?

Mitchell Proffman practices at 14402 69th Ave, Flushing, NY 11367. The listed phone number is (718) 268-9080.

What is Mitchell Proffman's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

What insurance does Mitchell Proffman accept?

Health plans from Providence Health Plan list Mitchell Proffman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitchell Proffman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.