Individual provider · Type 1 NPI

Sally Minniefield

Medical Physician Assistant · Suffern, NY

NPI number 1629499199 Active

Practice location

2 Executive Blvd, Suite 202
Suffern, NY 10901-4164

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X002383 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1629499199

Sally Minniefield's National Provider Identifier is 1629499199, issued on Dec 30, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Suffern, NY. The record was last updated on Dec 30, 2013.