Individual
MISS MEDINA ELIZABETH BARONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2000
(732) 923-2272
Mailing address
15330 89TH AVE, SUITE 1206, JAMAICA, NY 11432-3821
(917) 569-3844
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01434900
NJ
363LA2200X
Adult Health Nurse Practitioner
5683211
NY
Other
Enumeration date
08/24/2012
Last updated
06/25/2024
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