Individual
MINIMOL ANTONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2107 DITMAS AVE, BROOKLYN, NY 11226-6903
(718) 226-8100
(929) 264-5950
Mailing address
2107 DITMAS AVE, BROOKLYN, NY 11226-6903
(718) 262-8100
(929) 264-5950
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
301356
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/08/2016
Last updated
07/28/2022
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