Individual
FRANCISCO NINO MEDINA ADONA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1775 GRAND CONCOURSE, BRONX, NY 10453-8202
(718) 992-7669
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3467
(718) 992-7669
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
024148-01
NY
Other
Enumeration date
03/28/2023
Last updated
07/13/2023
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