Mintzer, Jonathan Philip

Mintzer, Jonathan Philip is an individual health care provider with primary practice located at Stony Brook University Medical Ctr Hsc T-11, Room 020, Stony Brook NY 11794-8111. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Mintzer, Jonathan Philip can be contacted via phone (631) 444-7653.

Contact Information

Primary practice address
Stony Brook University Medical Ctr Hsc T-11, Room 020 Stony Brook NY 11794-8111
Phone: (631) 444-7653
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 240685 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 240685 New York

Profile Details

NPI number 1902096852
LBN Legal business name Mintzer, Jonathan Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Jun 13th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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