Individual
BRENDA MINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3751 RIVERDALE AVE, BRONX, NY 10463-1815
(718) 362-1411
(718) 414-1651
Mailing address
1021 WESTWOOD RD, WOODMERE, NY 11598-1124
(917) 204-5445
(516) 765-2682
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
543750
NY
363LF0000X
Family Nurse Practitioner
Primary
F341692
NY
Other
Enumeration date
09/23/2009
Last updated
04/25/2019
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