Mitzner, Sandra Beth

Mitzner, Sandra Beth is an sole proprietor health care provider with primary practice located at 3300 Dewey Ave , Rochester NY 14616-3741. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Mitzner, Sandra Beth can be contacted via phone (585) 865-1550.

Contact Information

Primary practice address
3300 Dewey Ave Rochester NY 14616-3741
Phone: (585) 865-1550
Fax: (585) 865-5219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 151368 New York

Profile Details

NPI number 1093844334
LBN Legal business name Mitzner, Sandra Beth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2007
Last updated Jul 3rd, 2023 - about 2 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 1093844334 NPPES
New York MEDICAID 00895327

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