Organization
FREDRIC J MINTZ, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRIC J MINTZ MD (DOCTOR)
(516) 682-0001
Entity
Organization
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
12/17/2007
Last updated
12/17/2007
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