National Provider Identifier

Ralph Anthony Minervino, DPM

Ralph Anthony Minervino, DPM is listed in the NPPES registry with a primary specialty of Podiatrist in Canandaigua, NY and a listed phone number of (585) 393-8108.

NPI 1518994425Canandaigua, NYPodiatrist

Profile Overview

NPI
1518994425
Provider Type
Individual
Primary Specialty
Podiatrist
Enumeration Date
June 27, 2006
Last Updated
July 08, 2007

Practice Location

  • 400 Fort Hill Ave
  • Podiatry Clinic #129
  • Canandaigua, NY 14424-1159

Phone: (585) 393-8108

Specialties

  • Podiatrist (213E00000X)
Full Record
NPI
1518994425
Entity Type
Individual
Last Name
Minervino
First Name
Ralph
Middle Name
Anthony
Name Prefix
Dr.
Credential
DPM
Mailing Street Address
400 Fort Hill Ave
Mailing Address Line 2
Podiatry Clinic #129
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1159
Mailing Country
US
Mailing Phone
(585) 393-8108
Mailing Fax
(585) 393-8573
Practice Street Address
400 Fort Hill Ave
Practice Address Line 2
Podiatry Clinic #129
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1159
Practice Country
US
Practice Phone
(585) 393-8108
Practice Fax
(585) 393-8573
Enumeration Date
June 27, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Podiatrist (213E00000X)