Organization
LEIDA MEDINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEIDA MEDINA MD (PRESIDENT)
(516) 676-1160
Entity
Organization
Contact information
Practice address
3 SCHOOL ST, SUITE 301, GLEN COVE, NY 11542-2590
(516) 676-1160
(516) 671-5231
Mailing address
3 SCHOOL ST, SUITE 301, GLEN COVE, NY 11542-2590
(516) 676-1160
(516) 671-5231
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/08/2013
Last updated
03/16/2015
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