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Individual

SIOBHAN ELIZABETH MINIOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
465 W 167TH ST, NEW YORK, NY 10032-4351
(212) 543-3943
Mailing address
25 SAINT NICHOLAS TER APT 22, NEW YORK, NY 10027-2836
(401) 450-5892

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
26NJ00406300
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
382715
NY

Other

Enumeration date
12/04/2012
Last updated
07/21/2022
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