Provider Demographics
NPI:1457817348
Name:MINAKIN, EMILY HANNAH
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:HANNAH
Last Name:MINAKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02127-5601
Mailing Address - Country:US
Mailing Address - Phone:401-301-4827
Mailing Address - Fax:
Practice Address - Street 1:COMMUNITY HEALTH CENTER OF CAPE COD
Practice Address - Street 2:107 COMMERCIAL STREET
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649
Practice Address - Country:US
Practice Address - Phone:508-477-7090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-15
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant