DIMITRA MITSIANIS PA NPI 1477734804

NPI Information

NPI: 1477734804
Provider Name: DIMITRA MITSIANIS, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
234 EUGENIO MARIA DE HOSTOS 149TH ST
DEPARTMENT OF SURGERY
BRONX, NY
ZIP 10451
Phone: (718) 579-5000
Get Directions

Dimitra Mitsianis, PA is a surgical physician assistant in Bronx, NY. Dimitra Mitsianis, PA NPI is 1477734804. 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:

234 EUGENIO MARIA DE HOSTOS 149TH ST
DEPARTMENT OF SURGERY
BRONX, NY
ZIP 10451-504
Phone: (718) 579-5000
Fax: (718) 579-4620

The NPI 1477734804 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 11/16/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	009156	NEW YORK	Yes

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: 11/14/2023

NPI Synchronization or Removal

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