Individual
CASSIE SUSAN MINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1428 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6947
Mailing address
1 GUSTAVE L LEVY PL # 1497, NEW YORK, NY 10029-6504
(212) 241-6947
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
304009
NY
Other
Enumeration date
03/28/2016
Last updated
04/17/2020
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