Provider Demographics
NPI:1609571835
Name:MINOSKI, SYDNEY ANN
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:ANN
Last Name:MINOSKI
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 1:6422 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:FINLEYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15332-1030
Mailing Address - Country:US
Mailing Address - Phone:412-667-9798
Mailing Address - Fax:
Practice Address - Street 1:1300 OXFORD DR STE G200
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-4904
Practice Address - Country:US
Practice Address - Phone:412-851-8724
Practice Address - Fax:412-851-8778
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN660921163W00000X
PASP027188363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse