Individual
AMPARO MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3975 SEDGWICK AVE APT 19A, BRONX, NY 10463-3123
(917) 847-7536
Mailing address
3975 SEDGWICK AVE APT 19A, BRONX, NY 10463-3123
(917) 847-7536
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
08/07/2021
Last updated
11/14/2024
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