Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | N003104-1 | NY |
NPI | 1366592586 |
---|---|
Provider Name | Arthur M Minkoff |
First Address | Woodmere, NY 11598-1754 |
Second Address | Woodmere, NY 11598-1754 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 28/02/2008 |