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General NPI Number Information
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NPI Number | 1104810308
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Entity Type | Organization
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Legal Business Name | MINKOWITZ PATHOLOGY
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Dates
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Enumeration Date | 09/02/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 904 49TH ST
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City | BROOKLYN
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State | NY
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Zip | 11219-2922
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Country | US
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Telephone | 718-853-6433
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Fax | 718-853-6449
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Provider Business Mailing Address
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Address Line | 2810 AVENUE K
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City | BROOKLYN
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State | NY
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Zip | 11210-3746
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Country | US
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Telephone | 718-853-6433
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Fax | 718-853-6449
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Authorized Official
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Title or Position | OWNER
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Name | DR. GERALD MINKOWITZ
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Credential | M.D.
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Telephone | 718-853-6433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 176318
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 176318
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 176318
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 176318
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License Number State | NY
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