Individual
MRS. ANGELA MARIE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
8122 7TH AVE, BROOKLYN, NY 11228-2805
(718) 816-0225
Mailing address
369 HOYT AVE, STATEN ISLAND, NY 10301-2624
(917) 750-5853
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
443304-1
NY
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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