Fredric J Mintz, Md, Pc | |
175 Jericho Tpke Suite 217 Syosset NY 11791-4532 | |
(516) 682-0001 | |
(516) 682-0004 |
Full Name | Fredric J Mintz, Md, Pc |
---|---|
Speciality | Internal Medicine |
Location | 175 Jericho Tpke, Syosset, New York |
Authorized Official Name and Position | Fredric J Mintz (DOCTOR) |
Authorized Official Contact | 5166820001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Fredric J Mintz, Md, Pc 175 Jericho Tpke Suite 217 Syosset NY 11791-4532 Ph: (516) 682-0001 | Fredric J Mintz, Md, Pc 175 Jericho Tpke Suite 217 Syosset NY 11791-4532 Ph: (516) 682-0001 |
NPI Number | 1457534141 |
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Provider Enumeration Date | 12/17/2007 |
Last Update Date | 12/17/2007 |
Medicare PECOS PAC ID | 0648352880 |
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Medicare Enrollment ID | O20080128000470 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457534141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 150334 (New York) | Primary |
Provider Name | Fredric Mintz |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194759530 PECOS PAC ID: 9830271071 Enrollment ID: I20080128000456 |
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