Individual
TINA MINICOZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA
Contact information
Practice address
1000 N. VILLAGE AVENUE, ROCKVILLE CENTRE, NY 11571
(516) 705-1353
Mailing address
P.O. BOX 798, ROCKVILLE CENTRE, NY 11571
(516) 705-1353
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006476
NY
Other
Enumeration date
10/23/2006
Last updated
08/29/2008
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