Individual provider · Type 1 NPI
Mitsou Doroti Philogene, NP
Adult Health Nurse Practitioner · Bronx, NY
NPI number
1831434299
Active
Practice location
234 E 149th St
Bronx, NY 10451-5589
Mailing address
1164 East 38th Street
Brooklyn, NY 11210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F309059-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1831434299
Mitsou Doroti Philogene, NP's National Provider Identifier is 1831434299, issued on Dec 11, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bronx, NY. The record was last updated on Apr 26, 2019.