Individual
DR. JOHN MITSIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1300 YORK AVE, NEW YORK, NY 10065-4805
(212) 746-6464
Mailing address
4535 FOREST PARK AVE, APT 314, SAINT LOUIS, MO 63108-2128
(314) 691-8710
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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