Individual
DR. JOHN MINUTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
90 E END AVE, NEW YORK, NY 10028-8000
(212) 734-8877
(212) 734-2366
Mailing address
90 E END AVE, NEW YORK, NY 10028-8000
(212) 734-8877
(212) 734-2366
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
196818
NY
207UN0901X
Nuclear Cardiology Physician
196818
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-0597943
TAX ID
NY
Enumeration date
02/21/2006
Last updated
04/23/2008
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