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Contact Information

CHAILLE MINTAH
120 HOBART ST
RESIDENCY PROGRAM
UTICA, NY13501
 Phone: 315-801-1149
 Fax: 315-801-3565
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CHAILLE MINTAH · (Female)

NPI # 1265828255
Status Active
Credentials
Entity Individual
Enumeration date 04/07/2015
Last updated 08/09/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 295435
Hospital affiliation(s)
  • FAXTON-ST LUKE'S HEALTHCARE - (Acute Care)
    1656 CHAMPLIN AVENUE
    UTICA, NY 13503
  • SHASTA REGIONAL MEDICAL CENTER - (Acute Care)
    1100 BUTTE ST
    REDDING, CA 96001
  • ST ELIZABETH MEDICAL CENTER - (Acute Care)
    2209 GENESEE STREET
    UTICA, NY 13501
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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