Individual
DR. MINDY BETH STATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 EAST 210TH STREET, THE CHILDREN'S HOSPITAL AT MONTEFIORE, BRONX, NY 10467
(718) 920-7200
(718) 547-2929
Mailing address
111 EAST 210TH STREET, THE CHILDREN'S HOSPITAL AT MONTEFIORE, BRONX, NY 10467
(718) 920-7200
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
036069526
IL
2086S0120X
Pediatric Surgery Physician
Primary
260567
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069526
—
IL
Enumeration date
12/22/2006
Last updated
05/06/2011
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