Individual
DR. DAISY MEDINA-KREPPEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2280 N OCEAN AVE, INSIDE KMART, FARMINGVILLE, NY 11738-2911
(631) 282-8450
(631) 320-1300
Mailing address
8315 98TH ST, APT 2C, WOODHAVEN, NY 11421-1601
(718) 850-5077
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
491154
NY
363LF0000X
Family Nurse Practitioner
Primary
334130
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02827998
—
NY
Enumeration date
08/12/2005
Last updated
08/16/2013
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