Individual
MINA ESTAFANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8522 PINE RUN CT, ELLICOTT CITY, MD 21043-6934
(917) 929-7989
Mailing address
8522 PINE RUN CT, ELLICOTT CITY, MD 21043-6934
(917) 929-7989
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
24985
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
NA
NY
Other
Enumeration date
11/14/2017
Last updated
04/15/2024
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