Individual
DR. MEDWIN MATTHEW MINTZIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 5TH AVE, NEW YORK, NY 10021-7216
(212) 861-6686
(212) 288-7783
Mailing address
800 5TH AVE, NEW YORK, NY 10021-7216
(212) 861-6686
(212) 288-7783
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
116589
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00215949
—
NY
Enumeration date
11/08/2005
Last updated
07/08/2007
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