Shaffran, Mindy Lynn

Shaffran, Mindy Lynn is an individual health care provider with primary practice located at 118 North Country Road , Port Jefferson NY 11777. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Shaffran, Mindy Lynn can be contacted via phone (631) 473-7171.

Contact Information

Primary practice address
118 North Country Road Port Jefferson NY 11777
Phone: (631) 473-7171
Fax: (631) 473-4605
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 167389 New York

Profile Details

NPI number 1922084383
LBN Legal business name Shaffran, Mindy Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Nov 26th, 2008 - about 16 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 1922084383 NPPES
Other 160037800 RAILROAD MEDICARE

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