Individual
BECKY YEN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LAUTERBUR DRIVE, STONY BROOK, NY 11794-3733
(408) 828-3211
Mailing address
9 N MCCONNELL AVE, BAYPORT, NY 11705-1248
(408) 828-3211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020541-1
NY
Other
Enumeration date
03/02/2017
Last updated
07/02/2025
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