Individual
DIMITRA MITSIANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
234 EUGENIO MARIA DE HOSTOS 149TH ST, DEPARTMENT OF SURGERY, BRONX, NY 10451-5504
(718) 579-5000
(718) 579-4620
Mailing address
234 EUGENIO MARIA DE HOSTOS 149TH ST, DEPARTMENT OF SURGERY, BRONX, NY 10451-5504
(718) 579-5000
(718) 579-4620
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
009156
NY
Other
Enumeration date
11/14/2007
Last updated
11/16/2007
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