Organization Name: | GUY L. MINTZ M.D. PLLC |
NPI Number: | 1013171065 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GUY L MINTZ (PRESIDENT) |
Mailing Address: | 287 Northern Blvd Suite 211 Great Neck |
State: | NY US |
Postal Code: | 110214717 |
Phone Number: | 5164823401 |
Fax Number: | 5164666929 |
NPI Enumeration Date: | 07/17/2008 |
NPI Last Update Date: | 07/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 162793 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |