Individual
MRS. ANA MARIE MEDINA-HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 E 67TH ST, NEW YORK, NY 10065-5964
(212) 988-9500
Mailing address
411 20TH ST, BROOKLYN, NY 11215-6401
(212) 988-9500
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
648826051
NY
Other
Enumeration date
07/28/2013
Last updated
07/28/2013
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