Individual
DR. ISIS M MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
115 EAST 23RD ST, 6TH FLOOR, NEW YORK, NY 10010
(212) 228-5600
(212) 475-0703
Mailing address
23 ADAMS ST, GARDEN CITY, NY 11530
(516) 437-1330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X003428
NY
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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