Individual
ALBERT ABRAHAM MITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5000
Mailing address
1942 E 12TH ST, BROOKLYN, NY 11229-2704
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
021353
NY
363A00000X
Physician Assistant
Primary
021353
NY
Other
Enumeration date
09/23/2017
Last updated
09/16/2022
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