Individual
MRS. DANIELLE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2351 JERUSALEM AVE, NORTH BELLMORE, NY 11710-1822
(516) 608-6300
(516) 608-6314
Mailing address
2351 JERUSALEM AVE, NORTH BELLMORE, NY 11710-1822
(516) 608-6300
(516) 608-6314
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
73071492
NY
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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