Dr Mark Richard Minnick, PHD in Syracuse, NY - Psychologist

Dr Mark Richard Minnick, PHD is a Psychologist based in Syracuse, New York. Dr Mark Richard Minnick is licensed to practice in New York (license number 024286) and his current practice location is 620 Erie Blvd W, Syracuse, New York. He can be reached at his office (for appointments etc.) via phone at (315) 425-4400.

NPI number for Dr Mark Richard Minnick is 1043889728 and his current mailing address is 800 Irving Ave, Syracuse, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043889728.

Contact Information

	Dr Mark Richard Minnick, PHD
	620 Erie Blvd W, Syracuse, NY 13204-2445
	(315) 425-4400
	Not Available

Healthcare Provider's Profile

Full Name	Dr Mark Richard Minnick
Gender	Male
Speciality	Psychologist
Location	620 Erie Blvd W, Syracuse, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1043889728
Provider Enumeration Date: 06/17/2021
Last Update Date: 06/17/2021

Medical Identifiers

Medical identifiers for Dr Mark Richard Minnick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043889728	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	024286 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Richard Minnick is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Mark Richard Minnick, PHD 800 Irving Ave, Syracuse, NY 13210-2716 Ph: (315) 425-4400	Dr Mark Richard Minnick, PHD 620 Erie Blvd W, Syracuse, NY 13204-2445 Ph: (315) 425-4400

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Dr Mark Richard Minnick, PHD - Psychologist in Syracuse, NY