BRADLEY EVAN MINTER

PORT JEFFERSON, NY
NPI1578901542
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: NY  298678)
Additional Taxonomies207R00000X Internal Medicine
(Licence: AZ  R73909)
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: RI  MD15438)
208M00000X Hospitalist
(Licence: RI  MD15438)
Enumeration Date2013-06-11
Last Update Date2021-07-30
Business Address
Dr. BRADLEY EVAN MINTER M.D.
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-686-7654
Mailing Address
Dr. BRADLEY EVAN MINTER M.D.
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-686-7654