Individual
MICHAEL MINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20 PROSPECT AVE STE 703, HACKENSACK, NJ 07601-1963
(551) 996-4424
(551) 996-0831
Mailing address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-2030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
020732
NY
363A00000X
Physician Assistant
Primary
25MP00522900
NJ
Other
Enumeration date
04/19/2017
Last updated
12/11/2025
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