Individual
LAUREN MIZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 PALMER AVE, BRONXVILLE, NY 10708-3403
(914) 787-5000
Mailing address
55 PALMER AVE, BRONXVILLE, NY 10708-3403
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402605
NY
Other
Enumeration date
09/24/2019
Last updated
03/23/2022
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