SUSAN REBECCA MITCHELL

MASSAPEQUA, NY
NPI1508281866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  0173431)
Enumeration Date2014-02-24
Last Update Date2016-03-23
Business Address
-- SUSAN REBECCA MITCHELL P.A.
79 GRAND AVE
MASSAPEQUA, NY 11758
Phone number: 516-798-3376
Mailing Address
-- SUSAN REBECCA MITCHELL P.A.
79 GRAND AVE
MASSAPEQUA, NY 11758-4905
Phone number: 516-798-3376