MEDICARE: MINKOWITZ PATHOLOGY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZC0500X	Cytopathology Physician	176318	NY
2	291U00000X	Clinical Medical Laboratory	176318	NY
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	176318	NY
4	2085U0001X	Diagnostic Ultrasound Physician	176318	NY

General Provider Information

NPI Number	:	1104810308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINKOWITZ PATHOLOGY

Provider Business Mailing Address
First Line	:	2810 AVENUE K
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3746
Country	:	US
Telephone Number	:	718-853-6433
Fax Number	:	718-853-6449

Provider Business Practice Location Address
First Line	:	904 49TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2922
Country	:	US
Telephone Number	:	718-853-6433
Fax Number	:	718-853-6449

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GERALD MINKOWITZ
Credential	:	M.D.
Telephone Number	:	718-853-6433

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	09/11/2025

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Directions to “MINKOWITZ PATHOLOGY ” Practice Location

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