Individual
ANGELA MITSAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 CHURCH ST, MALVERNE, NY 11565-1726
(516) 495-4898
Mailing address
989 EGLON CT, MERRICK, NY 11566-1009
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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