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Individual

FINA MINNITI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2177 VICTORY BLVD, STATEN ISLAND, NY 10314-6603
(718) 370-3730
Mailing address
6 BRIAN CT, HAZLET, NJ 07730-1176
(347) 302-5470

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
02/27/2020
Last updated
09/28/2022
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