Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 208479 | NY |
NPI | 1467455709 |
---|---|
Provider Name | Melinda B Mcminn |
First Address | Syracuse, NY 13210-1687 |
Second Address | Syracuse, NY 13210-1687 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 09/11/2012 |