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Individual

MIKHAIL MINKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-8050
Mailing address
587 KINGS HWY APT 5, BROOKLYN, NY 11223-2020

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
214265
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
214265
LICENSE
NY
Enumeration date
11/28/2006
Last updated
07/08/2007
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