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Individual

SALLY MINNIEFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2 EXECUTIVE BLVD, SUITE 202, SUFFERN, NY 10901-4164
(845) 368-4700
Mailing address
2 EXECUTIVE BLVD, SUITE 202, SUFFERN, NY 10901-4164
(845) 368-4700

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002383
NY

Other

Enumeration date
12/30/2013
Last updated
12/30/2013
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