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Individual

MINDY SHERA PFEFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
987 W JERICHO TPKE, SMITHTOWN, NY 11787-3203
(631) 864-9100
(631) 864-9104
Mailing address
987 W JERICHO TPKE, SMITHTOWN, NY 11787-3203
(631) 864-9100
(631) 864-9104

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
160925-2
NY
2085N0904X
Nuclear Radiology Physician
160925-2
NY
2085R0202X
Diagnostic Radiology Physician
Primary
160925-2
NY
2085U0001X
Diagnostic Ultrasound Physician
160925-2
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01067418
NY
01
977161
BCBS
NY
Enumeration date
03/31/2006
Last updated
03/30/2015
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