Provider Demographics
NPI:1275792491
Name:MITCHELL, ELIZABETH C (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:C
Last Name:MITCHELL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:26901 76TH AVE STE 139
Mailing Address - Street 2:PEDIATRIC CARDIOLOGY
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1433
Mailing Address - Country:US
Mailing Address - Phone:718-470-7350
Mailing Address - Fax:718-347-5864
Practice Address - Street 1:26901 76TH AVE STE 139
Practice Address - Street 2:PEDIATRIC CARDIOLOGY
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1433
Practice Address - Country:US
Practice Address - Phone:718-470-7350
Practice Address - Fax:718-347-5864
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2014-05-29
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Provider Licenses
StateLicense IDTaxonomies
NY247914208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY247914OtherLICENSE NUMBER