Most Relevant Information
Provider Data
| NPI Number: | 1003332453 |
| Provider Name: | KUMIKO MITARAI |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 0268221 |
Most Important Dates
| Enumeration Date: | 08/17/2017 |
| Last Updated: | 08/17/2017 |
Provider Practice Location
PS 321
180 7TH AVE
BROOKLYN
NY
11215
Practice Location Phone/Fax
| Phone: | 7184992412 |
| Fax: |
Provider Mailing Location
35 PROSPECT PARK W
4C
BROOKLYN
NY
112152393
Provider Mailing Phone/Fax
| Phone: | 7187835705 |
| Fax: |