Jacquelyn Mitra
Jacquelyn Mitra is a Specialist in Port Jefferson Station, New York. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
299 Hallock AvePort Jefferson Station, NY 11776-1217
Phone: (631) 469-3842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1528882743 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 13, 2024 |
| Last updated in NPPES | November 13, 2024 |
| Certification date | November 12, 2024 |
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