Pfeffer, Mindy Shera

Pfeffer, Mindy Shera is an individual health care provider with primary practice located at 987 W Jericho Tpke , Smithtown NY 11787-3203. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Pfeffer, Mindy Shera can be contacted via phone (631) 864-9100.

Contact Information

Primary practice address
987 W Jericho Tpke Smithtown NY 11787-3203
Phone: (631) 864-9100
Fax: (631) 864-9104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 160925-2 New York
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 160925-2 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 160925-2 New York
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 160925-2 New York

Profile Details

NPI number 1740241389
LBN Legal business name Pfeffer, Mindy Shera
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Mar 30th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740241389 NPPES
New York Other 977161 BCBS
New York MEDICAID 01067418 BCBS

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