Individual
DR. JOHN A MINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
15 MAIN ST, SETAUKET, NY 11733-2863
(631) 689-9048
Mailing address
15 MAIN ST, SETAUKET, NY 11733-2863
(631) 689-9048
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000151
NY
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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