Individual
MRS. SHARON LYNN MITCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3 PIPPEN PL, NEW CITY, NY 10956-6614
(914) 980-0456
Mailing address
3 PIPPEN PL, NEW CITY, NY 10956-6614
(845) 638-6435
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
00-3319-1
NY
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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