Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mitzy Ohlidal, MST

Individual provider Specialist · NPI 1902161375

Mitzy Ohlidal, MST is a Specialist in Waddington, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

10 Main St
Waddington, NY 13694-0249
Phone: (315) 388-7703
Fax: (315) 388-4707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 470017931 (NY)

Record details

NPI number1902161375
Entity typeIndividual (Type 1)
GenderFemale
Credentials MST
Sole proprietorNo
NPI enumeratedJuly 11, 2012
Last updated in NPPESJuly 11, 2012

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