Provider Demographics
NPI:1407244262
Name:PAUL MINSKY
Entity Type:Organization
Organization Name:PAUL MINSKY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:MINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-332-4455
Mailing Address - Street 1:537 EAST LANDIS AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360
Mailing Address - Country:US
Mailing Address - Phone:856-332-4455
Mailing Address - Fax:
Practice Address - Street 1:537 EAST LANDIS AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360
Practice Address - Country:US
Practice Address - Phone:856-332-4455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-02
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health