DR. SANDRA BETH MITZNER (NPI# 1093844334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093844334 |
| Entity Type | Individual |
| Full Name | DR. SANDRA BETH MITZNER |
| Credential | M.D. |
| Practice Address |
3300 Dewey Ave Rochester NY 14616-3741 |
| Mailing Address |
75 Rhinecliff Dr Rochester NY 14618-1505 |
| Practice Telephone | 5858651550 |
| Practice Fax Number | 5858655219 |
| Mailing Telephone | 5854732273 |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
151368 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DEA | BM2984373 | 01 |
| NY | 00895327 | 05 |
| Street Address |
3300 DEWEY AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14616-3741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578640298 | Villa of Hope | Voluntary or Charitable | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2006-11-01 |
| 1396370904 | Kanza Williams | Counselor | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2020-03-04 |
| 1609417054 | Megan Odonnell | Social Worker | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2019-10-07 |
| 1235785775 | Levar Sanders | Counselor | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2019-08-12 |
| 1265093884 | Breanna Steward | Social Worker | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2019-06-25 |
| 1013578087 | Kimberly Lillie | Social Worker | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2019-06-21 |
| 1558921924 | Robert Newcombe | Counselor | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2019-06-18 |
| 1194381210 | Jennifer Marie Johnson | Counselor | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2019-05-14 |
| 1104399401 | Kathrynann Iannucci | Social Worker | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2019-01-09 |
| 1073004198 | Shawn James | Social Worker | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2018-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776786 | Seneca Rx LLC | Pharmacy | 2780 Dewey Ave., Rochester, NY 14616 | 2018-10-19 |
| 1760996490 | Carmella Marie Bertolone | Registered Nurse | Longridge Elementary School, 190 Longridge Avenue, Rochester, NY 14616 | 2017-11-16 |
| 1922537117 | Katrina Brianna Martin | Licensed Practical Nurse | 540 Affinity Ln, Rochester, NY 14616 | 2017-06-09 |
| 1679926174 | Aidah Mirembe | Registered Nurse | 4141 Churchill Dr, Rochester, NY 14616 | 2016-07-20 |
| 1114395464 | Alejandro Aguilar | Orthotic Fitter | 314 Mccall Rd, Rochester, NY 14616 | 2015-09-03 |
| 1033507793 | Felecia C Thomas | Licensed Practical Nurse | 240 Joanne Dr. Apt #1, Rochester, NY 14616 | 2015-01-05 |
| 1548606551 | Matthew Teal | Social Worker | 1687 English Road, Rochester, NY 14616 | 2013-05-16 |
| 1982960258 | Tiffany I. Letts | Registered Nurse | 235 Valley Brook Circle, Rochester, NY 14616 | 2012-04-11 |
| 1508157793 | Venus V Scott | Licensed Practical Nurse | 24 Banker Pl, Rochester, NY 14616 | 2011-04-22 |
| 1194987271 | Gail Peterson | Counselor | English Road Psychotherapy, 1800 English Road, Rochester, NY 14616 | 2008-06-30 |
| Find all providers in zip 14616 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740676766 | Maura E Tappen | Psychiatry & Neurology | 1860 South Ave, Rochester, NY 14620-4229 | 2015-04-07 |
| 1710389069 | John F. Erhart Md PC | Psychiatry & Neurology | 85 Summit Dr, Rochester, NY 14620-3129 | 2014-09-18 |
| 1609910116 | Mohsen Emami | Psychiatry & Neurology | 3300 Dewey Ave St Josephs Villa of Rochester, Rochester, NY 14616 | 2007-02-16 |
| 1922001734 | Christine M Chruscicki | Psychiatry & Neurology | 100 Pinewild Dr, Suite 2a, Rochester, NY 14606-4200 | 2005-05-24 |
| 1316569569 | Flower City Psychiatry | Psychiatry & Neurology | 140 Allens Creek Rd Ste 200, Rochester, NY 14618-3307 | 2020-05-11 |
| 1770901100 | Jessica Ee | Psychiatry & Neurology | 300 Crittenden Blvd, Rochester, NY 14642-0001 | 2014-04-02 |
| 1790948917 | Abiola O Adelaja | Psychiatry & Neurology | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2008-07-08 |
| 1336326180 | Sasha D Massachi | Psychiatry & Neurology | 601 Elmwood Avenue, Rochester, NY 14642-0001 | 2008-01-23 |
| 1053523308 | Eugenio Contreras Iv | Psychiatry & Neurology | 300 Crittenden Blvd, Rochester, NY 14642-0001 | 2007-05-07 |
| 1205997954 | Stuart L. Loeb | Psychiatry & Neurology | 224 Alexander St, Rochester, NY 14607-4000 | 2006-12-13 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.