Individual
MICHAEL J MINEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
127 NORTH ST, BATAVIA, NY 14020-1631
(585) 343-6030
Mailing address
50 ALCONA AVE, AMHERST, NY 14226-2201
(716) 834-1193
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
238200
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028022001
UNIVERA HEALTHCARE
NY
01
—
000529157001
BLUE CROSS
NY
05
—
02860108
—
NY
01
—
070412000094
FIDELIS CARE NY
NY
01
—
3914237
INDEPENDENT HEALTH
NY
Enumeration date
03/06/2007
Last updated
03/12/2009
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