Tina Minicozzi RPA

NPI 1972686715 - Physician Assistant - 363AM0700X

NPI Details
NPI 1972686715
Gender Female
Enumeration Date 10/23/2006
Last Updated 08/29/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1000 N. VILLAGE AVENUE
ROCKVILLE CENTRE NY, 11571, US
Phone (516) 705-1353
Fax
Business Location
P.O. BOX 798
ROCKVILLE CENTRE NY, 11571, US
Phone (516) 705-1353
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State New York
License Number 006476
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According to our database, Tina Minicozzi RPA NPI is 1972686715, taxonomy code is 363AM0700X and license number is 006476, license state is located at New York. Tina Minicozzi RPA physically located at 1000 N. Village Avenue, Rockville Centre NY, 11571. NPI Number Tina Minicozzi RPA has the Individual type.

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1972686715 NPI number is provided on an as is basis without warranty of any kind. 1972686715 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Minicozzi RPA are for informational purposes only.