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Contact Information

MINA ESTAFANOS
8522 PINE RUN CT
ELLICOTT CITY, MD21043-6934
 Phone: 917-929-7989
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for MINA ESTAFANOS · (Male)

NPI Number 1851804777
Status Active
Credentials
Entity Individual
Enumeration date 11/14/2017
Last updated 04/15/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 24985
  • NY License # NA
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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