Individual
EDLYANE VERONICA MEDINA ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8900 VAN WYCK EXPY, RICHMOND HILL, NY 11418-2897
(718) 206-7262
Mailing address
8900 VAN WYCK EXPY, RICHMOND HILL, NY 11418-2897
(718) 206-7262
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
027741
NY
Other
Enumeration date
11/28/2025
Last updated
12/03/2025
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