Individual
MINI VERTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
669 CASTLETON AVE, STATEN ISLAND, NY 10301-2028
(718) 442-2225
(718) 442-2289
Mailing address
669 CASTLETON AVE, STATEN ISLAND, NY 10301-2028
(718) 442-2225
(718) 442-2289
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
162251
NY
Other
Enumeration date
10/03/2006
Last updated
08/08/2013
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