Individual
MARCELINA MEDRANO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1050 CLOVE RD, STATEN ISLAND, NY 10301-3627
(718) 816-6440
(718) 816-3611
Mailing address
1050 CLOVE RD, STATEN ISLAND, NY 10301-3627
(718) 816-6440
(718) 816-3611
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
111919
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00202093
—
NY
Enumeration date
03/21/2006
Last updated
07/08/2007
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