Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN MIZGALA, DNP, FNP-BC
Active Sole ProprietorJONATHAN MIZGALA, DNP, FNP-BC is a Nurse Practitioner healthcare provider located in ILION, New York. NPI 1164968434 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · ILION, NY
Registration Details
- NPI Number
- 1164968434
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2017 (9.6061540870822 yrs)
- Last Updated
- Dec 13, 2023
- Licenses
-
405393 (NY)F342409 (NY)342409 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
55 CENTRAL PLZ STE BILION, NY, 133571753Browse NY providers · Browse ZIP 13357
- Phone
- 3154441900
- Fax
- 3153632549
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.