Individual
DR. MINTA PAMELA SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 PELHAM PARKWAY SOUTH, NR 3N7, BRONX, NY 10461
(718) 918-3886
(718) 918-7526
Mailing address
PO BOX 1465, NEW YORK, NY 10159-1465
(718) 918-3886
(718) 918-7526
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
192304
NY
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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