Tiffany Mitrakos, M.S.ED.

Primary specialty

SpecialistTaxonomy code 174400000X

License

974527151 Issued in NY

Practice address

507 Kent St
Utica, NY 13501-2317

Phone

(315) 797-2233

Fax

(315) 272-1914

NPI assigned

Dec 29, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Association for the Blind and Visually Impaired

  • Early Intervention Provider Agency
  • Utica, NY
  • NPI 1285062232
  NPD (past)
• Central Association for the Blind, Inc.

  • Voluntary or Charitable Agency
  • Utica, NY
  • NPI 1427108760
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1275998635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 KENT ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135012317",
            "telephone_number": "315-797-2233",
            "fax_number": "315-272-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 KENT ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135012317",
            "telephone_number": "315-797-2233",
            "fax_number": "315-272-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITRAKOS",
        "first_name": "TIFFANY",
        "name_prefix": "Miss",
        "credential": "M.S.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "974527151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Joseph Misterka Jr.
• Edina Mistric
• Tatyana Misyulya, MD
• Natalie Anne Mitchell, M.D
• Windy G Mitchell, RPAC
• Matthew Anthony Mittiga, DO
• Lisa A Mixon
• Leann Mogensen, PHYSICAL THERAPIST
• Taha Mohammad, MD
• Mohawk Hospital Equipment, Inc.

• Specialist in Utica, NY
• Providers in Utica, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.