Individual
KATHLEEN MINCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 SCHUBERT CT, SOUTH HUNTINGTON, NY 11746-4753
(631) 903-3975
Mailing address
12 SCHUBERT CT, SOUTH HUNTINGTON, NY 11746-4753
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431643
NY
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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