Individual
JOAN N. MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, E.D., BRONX, NY 10467-2401
(718) 920-5731
(718) 920-5731
Mailing address
111 E 210TH ST, E.D., BRONX, NY 10467-2401
(718) 920-5731
(718) 920-5731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
280405-1
NY
Other
Enumeration date
07/16/2012
Last updated
01/25/2016
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