Gina Marie Mitchell, M.S.

NPI #1194129163 in Commack, New York

Provider Information

NPI Number: 1194129163
Entity Type: Individual
Name: Gina Marie Mitchell, M.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.S.
Enumeration Date: Oct 20, 2014
Last Updated: Oct 20, 2014

Practice Location

Address: 29 PINEWOOD DR
City: Commack
State: New York
ZIP Code: 11725-5612
Phone: (631) 499-1237

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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