Individual
CRISTINA MARIE MINUTOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3415 BAINBRIDGE AVE, BRONX, NY 10467
(718) 741-2518
Mailing address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 741-2518
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
018154
NY
363AM0700X
Medical Physician Assistant
Primary
018154
NY
Other
Enumeration date
01/09/2015
Last updated
10/01/2024
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