Individual
DR. EVAN MINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 E SHORE RD, SUITE 104, GREAT NECK, NY 11023-2432
(516) 829-9550
(516) 829-9718
Mailing address
310 E SHORE RD, SUITE 104, GREAT NECK, NY 11023-2432
(516) 829-9550
(516) 829-9718
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
177586
NY
207RC0000X
Cardiovascular Disease Physician
Primary
177586
NY
Other
Enumeration date
06/26/2006
Last updated
08/14/2023
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