Individual
ANGELA R MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(212) 207-8274
Mailing address
1074 FOX ST # 3, BRONX, NY 10459-2806
(347) 968-4088
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30076282
NY
Other
Enumeration date
03/13/2021
Last updated
03/13/2021
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