Individual
CAROL LYNN MITARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
128 ASHFORD AVE, DOBBS FERRY, NY 10522-1924
(914) 693-0700
(914) 693-4723
Mailing address
128 ASHFORD AVE, DOBBS FERRY, NY 10522-1924
(914) 693-0700
(914) 693-4723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003324
NY
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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