Individual provider · Type 1 NPI
Sophie Rose Mintz
Pediatric Nurse Practitioner · New York, NY
NPI number
1285581512
Active
Practice location
1 Gustave L Levy Pl # 1104
New York, NY 10029-6504
Fax (212) 241-2064
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 383637 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 383637 (NY) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1285581512
Sophie Rose Mintz's National Provider Identifier is 1285581512, issued on Mar 16, 2026. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Apr 2, 2026.