Individual
CHRISTOPHER MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 W 110TH ST APT 1E, NEW YORK, NY 10025-2021
(212) 280-4740
Mailing address
393 W 49TH ST APT 4N, NEW YORK, NY 10019-7905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
329556
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
12/02/2024
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