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Individual

DR. CHRISTOPHER M MINACAPILLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
33 5TH AVE, NEW YORK, NY 10003-4338
(212) 473-3049
(212) 777-3347
Mailing address
65 JUMEL ST, STATEN ISLAND, NY 10308-1720
(718) 541-7017

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N006072
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02678504
NY
01
8472890
CIGNA
NY
01
PJ922
EMPIRE BLUE CROSS BLUE SH
NY
Enumeration date
10/02/2006
Last updated
07/08/2007
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