Mitkoff, Melissa E

Mitkoff, Melissa E is an individual health care provider with primary practice located at 5 Palisades Dr Ste100, Albany NY 12205-6433. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mitkoff, Melissa E can be contacted via phone (518) 438-4493.

Contact Information

Primary practice address
5 Palisades Dr Ste100 Albany NY 12205-6433
Phone: (518) 438-4493
Fax: (518) 438-5803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F430108-1 New York

Profile Details

NPI number 1164417457
LBN Legal business name Mitkoff, Melissa E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated May 14th, 2021 - about 3 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 1164417457 NPPES
New York MEDICAID 02049558

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