Individual
ERICA MITNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
533 ROCKAWAY ST, STATEN ISLAND, NY 10307-1812
(718) 354-7125
Mailing address
533 ROCKAWAY ST, STATEN ISLAND, NY 10307-1812
(718) 354-7125
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
312218
NY
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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