Fredric J Mintz, Md, PC

NPI #1457534141 in Syosset, New York

Provider Information

NPI Number: 1457534141
Entity Type: Organization
Organization Name: Fredric J Mintz, Md, PC
Primary Specialty: Internal Medicine
Enumeration Date: Dec 17, 2007
Last Updated: Dec 17, 2007

Practice Location

Address: 175 JERICHO TPKE
Address 2: SUITE 217
City: Syosset
State: New York
ZIP Code: 11791-4532
Phone: (516) 682-0001

Authorized Official

Name: DR. FREDRIC J MINTZ, MD
Title: DOCTOR
Phone: (516) 682-0001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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