Individual
DANIELLE MITKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 ESSEX ST, NEW YORK, NY 10002
(212) 477-1120
(212) 477-8957
Mailing address
60 MADISON AVE FL 5, NEW YORK, NY 10010-1600
(212) 545-2400
(646) 312-0481
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344182
NY
Other
Enumeration date
04/21/2019
Last updated
09/13/2019
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