Provider Demographics
NPI:1518999424
Name:MITCHELL, CHRISTINE A (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:A
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 PARKVIEW RD N
Mailing Address - Street 2:
Mailing Address - City:POUND RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10576-1213
Mailing Address - Country:US
Mailing Address - Phone:443-280-0379
Mailing Address - Fax:914-922-7457
Practice Address - Street 1:15 PARKWAY # 2
Practice Address - Street 2:
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-1505
Practice Address - Country:US
Practice Address - Phone:914-507-2909
Practice Address - Fax:914-922-7457
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY329146207Q00000X, 204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine