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Individual

JONATHAN MINKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9335
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9335

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
334245
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/04/2019
Last updated
08/06/2025
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