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CHAILLE MINTAH

Individual Provider (NPI-1) Active

Family Medicine

Provider Information

NPI Number
1265828255
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
120 HOBART ST RESIDENCY PROGRAM, UTICA, NY, 13501
Phone
(315) 801-1149
Fax
(315) 801-3565

Specialties & Taxonomies

Emergency Medicine License: NY #295435
Student in an Organized Health Care Education/Training Program
Family Medicine Primary License: NY #295435

All Addresses

LOCATION

120 HOBART ST RESIDENCY PROGRAM

UTICA, NY, 13501

(315) 801-1149

MAILING

120 HOBART ST RESIDENCY PROGRAM

UTICA, NY, 135014308

(315) 801-1149