Provider Demographics
NPI:1558795617
Name:HONSBERGER, MUTITA PLABPRASIT (ARNP)
Entity type:Individual
Prefix:
First Name:MUTITA
Middle Name:PLABPRASIT
Last Name:HONSBERGER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MUTITA
Other - Middle Name:
Other - Last Name:PLABPRASIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:131 LONG HILL RD E
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-2613
Mailing Address - Country:US
Mailing Address - Phone:518-222-7584
Mailing Address - Fax:
Practice Address - Street 1:2 CHURCH ST
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-4818
Practice Address - Country:US
Practice Address - Phone:914-502-1415
Practice Address - Fax:914-502-1347
Is Sole Proprietor?:No
Enumeration Date:2013-08-26
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY339172363LF0000X
WAAP60100789363LC0200X, 363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPENDINGMedicaid