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Individual

DR. JOHN E. MINOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1508 GENESEE ST, UTICA, NY 13502-5178
(315) 798-8737
(315) 732-1702
Mailing address
1508 GENESEE ST, UTICA, NY 13502-5178
(315) 798-8737
(315) 732-1702

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0102202192
VA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
176034
NY
208100000X
Physical Medicine & Rehabilitation Physician
25MB05670800
NJ
208100000X
Physical Medicine & Rehabilitation Physician
34.008368
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03207738
NY
Enumeration date
09/23/2008
Last updated
03/31/2014
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