Individual provider · Type 1 NPI

Chad Mineo, STUDENT

Student in an Organized Health Care Education/Training Program · Nutley, NJ

NPI number 1629534565 Active

Practice location

17 Church St Apt 15
Nutley, NJ 07110-1675

Call (845) 709-2546 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629534565

Chad Mineo, STUDENT's National Provider Identifier is 1629534565, issued on Feb 15, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Nutley, NJ. The record was last updated on Feb 15, 2019.