Individual
DR. FREDRIC J MINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 JERICHO TPKE, SUITE 217, SYOSSET, NY 11791-4532
(516) 682-0001
(516) 682-0004
Mailing address
175 JERICHO TPKE, SUITE 217, SYOSSET, NY 11791-4532
(516) 682-0001
(516) 682-0004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
150334
NY
Other
Enumeration date
07/10/2006
Last updated
02/12/2008
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