Individual
DR. CAROL ANN MINNEROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 E 90TH ST, NEW YORK CITY, NY 10128
(212) 861-9012
(212) 369-4034
Mailing address
51 E 90TH ST, NEW YORK CITY, NY 10128
(212) 861-9012
(212) 369-4034
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
116588
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004668440
AETNA US HEALTHCARE
—
05
—
00215930
—
NY
01
—
0026029
AETNA
—
01
—
0096733
GHI
—
01
—
116588
HIP
—
01
—
333301
BLUE CROSS BLUE SHIELD
—
Enumeration date
06/20/2006
Last updated
07/08/2007
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