Individual provider · Type 1 NPI

Fadwa Mini

Surgical Physician Assistant · Brooklyn, NY

NPI number 1154039477 Active

Practice location

450 Clarkson Ave # 67
Brooklyn, NY 11203-2012

Mailing address

263 Farmington Ave
Farmington, CT 06030-1921

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1154039477

Fadwa Mini's National Provider Identifier is 1154039477, issued on Nov 7, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 30, 2024.