Mistric, Edina

Mistric, Edina is an individual health care provider with primary practice located at 185 Genesee St 4Th Floor, Utica NY 13501-2102. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Mistric, Edina can be contacted via phone (315) 798-5249.

Contact Information

Primary practice address
185 Genesee St 4Th Floor Utica NY 13501-2102
Phone: (315) 798-5249
Fax: (315) 731-3491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1346502747
LBN Legal business name Mistric, Edina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Jun 12th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346502747 NPPES
New York MEDICAID 0474268

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