| Carol Lynn Mitaro, PA | |
|
128 Ashford Ave, Dobbs Ferry, NY 10522-1924 | |
| (914) 693-0700 | |
| (914) 693-4723 |
| Full Name | Carol Lynn Mitaro |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 39 Years |
| Location | 128 Ashford Ave, Dobbs Ferry, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508043563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 003324 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phelps Hospital | Sleepy hollow, NY | Hospital |
| St John's Riverside Hospital | Yonkers, NY | Hospital |
| Northern Westchester Hospital | Mount kisco, NY | Hospital |
| Hudson Valley Hospital Center | Cortlandt manor, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 2775 |
| Entity Name | North Shore-lij Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Lynn Mitaro, PA 128 Ashford Ave, Dobbs Ferry, NY 10522-1924 Ph: (914) 693-0700 | Carol Lynn Mitaro, PA 128 Ashford Ave, Dobbs Ferry, NY 10522-1924 Ph: (914) 693-0700 |
Roman Tkachenko, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 555 Broadway, Dobbs Ferry, NY 10522 Phone: 914-674-7600 |
Sarah Francus, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 555 Broadway, Dobbs Ferry, NY 10522 Phone: 914-674-7600 |
Wanda Rivera, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 128 Ashford Ave, Dobbs Ferry, NY 10522 Phone: 914-693-0700 Fax: 914-693-4723 |
Jefferson Su, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 555 Broadway, Dobbs Ferry, NY 10522 Phone: 914-674-7600 |
Jui Patel, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 555 Broadway, Dobbs Ferry, NY 10522 Phone: 914-674-7600 |
Najd Aljonubi, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 555 Broadway, Dobbs Ferry, NY 10522 Phone: 000-000-0000 |
Shayna Mindell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 555 Broadway, Dobbs Ferry, NY 10522 Phone: 914-674-7600 |