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NPI Code Detail

MEDICARE: MARK NASSER EL-MINIAWI

MEDICARE:   MARK NASSER EL-MINIAWI
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1447992771
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK NASSER EL-MINIAWI
Provider Business Mailing Address
First Line : 160 CONVENT AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10031-9198
Country : US
Telephone Number : 212-650-7718
Fax Number :
Provider Business Practice Location Address
First Line : 160 CONVENT AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10031-9198
Country : US
Telephone Number : 212-650-7718
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2022
Last Update Date : 04/07/2022

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Directions to “ MARK NASSER EL-MINIAWI ” Practice Location

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