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Individual
JONATHAN MIZGALA
Active
Individual
JONATHAN MIZGALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
342409
NY
363L00000X
Nurse Practitioner
F342409
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405393
NY
Other
Enumeration date
01/11/2017
Last updated
10/07/2026
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