Justine A Mitrowski

Primary specialty

SpecialistTaxonomy code 174400000X

License

016181-3 Issued in NY

Practice address

6997 Campbell Blvd
North Tonawanda, NY 14120-9605

Phone

(716) 625-7106

Fax

(716) 625-7107

NPI assigned

Mar 28, 2011

Last updated

Mar 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1871892000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6997 CAMPBELL BLVD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141209605",
            "telephone_number": "716-625-7106",
            "fax_number": "716-625-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6997 CAMPBELL BLVD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141209605",
            "telephone_number": "716-625-7106",
            "fax_number": "716-625-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITROWSKI",
        "first_name": "JUSTINE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "016181-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Miller, LMT
• Mark William Milleville, PT
• Kevin D Mills, PHARM D
• Bonnie Lee Miskell, AAS
• Paula Missana
• Bethany Modica
• Catherine Molnar
• Kristen L Monroe, PHARMD
• Karen Kathleen Moore, RN
• Tiffany Marie Moore, MA

• Specialist in North Tonawanda, NY
• Providers in North Tonawanda, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.