Individual provider · Type 1 NPI

Katie Mitaszka, PA-C

Surgical Physician Assistant · New York, NY

NPI number 1972164606 Active

Practice location

1901 First Avenue, 12th Floor Room 12A1
New York, NY 10029

Mailing address

3920 Greenpoint Ave Apt 7J
Sunnyside, NY 11104-4523

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X023902 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1972164606

Katie Mitaszka, PA-C's National Provider Identifier is 1972164606, issued on Jun 24, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Oct 7, 2019.