Mitra, Nirmala

Mitra, Nirmala is an individual health care provider with primary practice located at 760 Broadway, Woodhull Medical & Mental Health Center Department Of Pediatrics, Brooklyn NY 11206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Mitra, Nirmala can be contacted via phone (718) 963-8000.

Contact Information

Primary practice address
760 Broadway, Woodhull Medical & Mental Health Center Department Of Pediatrics Brooklyn NY 11206
Phone: (718) 963-8000
Fax: (718) 630-3122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 126205 New York

Profile Details

NPI number 1538235973
LBN Legal business name Mitra, Nirmala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Mar 25th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538235973 NPPES
New York MEDICAID 00533495

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