Individual
MS. DRAZY MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
121 ROOSEVELT ST, PROVIDENCE, RI 02909-3501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
356684
NY
Other
Enumeration date
04/08/2025
Last updated
04/23/2025
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