Individual
IWONA MITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(929) 273-7601
Mailing address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(347) 558-3505
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
01
NY
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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