Individual
MR. DAVID ANTHONY MINAFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
178 MORRISON AVE, STATEN ISLAND, NY 10310-2835
(732) 416-6035
(732) 416-6035
Mailing address
178 MORRISON AVE., STATEN ISLAND, NY 10310
(732) 416-6035
(732) 416-6035
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
010178-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497709166
LIFESPIRE
NY
Enumeration date
12/29/2011
Last updated
03/27/2012
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