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NIRMALA MITRA MD NPI 1538235973


NPI Information

NPI: 1538235973
Provider Name: NIRMALA MITRA, MD
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
760 BROADWAY, WOODHULL MEDICAL & MENTAL HEALTH CENTER
DEPARTMENT OF PEDIATRICS
BROOKLYN, NY
ZIP 11206
Phone: (718) 963-8000
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Nirmala Mitra, MD is a neurology with special qualifications in child neurology psychiatry neurology in Brooklyn, NY. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Nirmala Mitra, MD NPI is 1538235973. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

760 BROADWAY, WOODHULL MEDICAL & MENTAL HEALTH CENTER
DEPARTMENT OF PEDIATRICS
BROOKLYN, NY
ZIP 11206
Phone: (718) 963-8000
Fax: (718) 630-3122

The enumeration date for this NPI number is 11/28/2006 and was last updated on 3/25/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology126205NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B14506MEDICARE UPIN
243A901MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
300533495MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.