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Contact Information

MINDY S PFEFFER, MD
987 W JERICHO TPKE
SMITHTOWN, NY11787-3203
 Phone: 631-864-9100
 Fax: 631-864-9104
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
 

Neuroradiology

2085N0700X
 

Nuclear Radiology

2085N0904X
Indicates primary specialty

NPI Profile & details for MINDY S PFEFFER · (Female)

NPI Number 1740241389
Status Active
Credentials MD
Entity Individual
Enumeration date 03/31/2006
Last updated 03/30/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 160925-2
  • NY Medicaid 01067418
  • NY Other 977161 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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