ERICA MITNIK
NPI 1376349654
Nurse Practitioner - Adult Health in Staten Island, NY
Active since February 19, 2025
About Erica Mitnik NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERICA MITNIK (NPI 1376349654) is an individual adult health provider in Staten Island, New York, licensed in New York (312218) and active in the NPI registry since February 2025.
NPPES Registry Identity
NPI1376349654
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameERICA MITNIK
Location Address533 ROCKAWAY STStaten Island, NY 10307-1812
Mailing Address533 Rockaway StStaten Island, NY 10307-1812 · (718) 354-7125
Phone(718) 354-7125
Sole ProprietorNo
Enumeration DateFebruary 19, 2025
NPPES CertifiedFebruary 19, 2025
✔ NPI 1376349654 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 312218
533 ROCKAWAY ST, Staten Island, NY 10307
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376349654, enumerated as an "individual" on February 19, 2025.
The provider is located at 533 ROCKAWAY ST STATEN ISLAND, NY 10307 and the phone number is (718) 354-7125.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.