Mitzner, Sandra Beth
Mitzner, Sandra Beth is an sole proprietor health care provider with primary practice located at 3300 Dewey Ave , Rochester NY 14616-3741. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Mitzner, Sandra Beth can be contacted via phone (585) 865-1550.Contact Information
Primary practice address
3300 Dewey Ave
Rochester NY 14616-3741
Phone: (585) 865-1550
Fax: (585) 865-5219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 151368 | New York |
Profile Details
| NPI number | 1093844334 |
|---|---|
| LBN Legal business name | Mitzner, Sandra Beth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 4th, 2007 |
| Last updated | Jul 3rd, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093844334 | NPPES |
| New York | MEDICAID | 00895327 |
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