MITZY OHLIDAL MST - NPI 1902161375 - Specialist in Waddington, NY

Q: What is Mitzy Ohlidal's NPI number?

The NPI number for Mitzy Ohlidal is 1902161375. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Q: What is Mitzy Ohlidal's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Mitzy Ohlidal was last updated on July 11, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mitzy Ohlidal Mst NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITZY OHLIDAL MST (NPI 1902161375) is an individual specialist in Waddington, New York, licensed in New York (470017931) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1902161375

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMITZY OHLIDALCredential: MST

Location Address10 MAIN STREETWaddington, NY 13694-0249

Mailing AddressPo Box 249Waddington, NY 13694-0249 · (315) 388-7703 · Fax (315) 388-4707

Phone(315) 388-7703

Fax(315) 388-4707

Sole ProprietorNo

Enumeration DateJuly 11, 2012

✔ NPI 1902161375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 470017931

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

10 MAIN STREET, Waddington, NY 13694

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