Individual
MR. ALEX ADRIAN MEDINA ABRAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8616 63RD DRIVE, 2ND FLOOR, REGO PARK, NY 11374
(408) 708-6596
Mailing address
8616 63RD DR FL 2, REGO PARK, NY 11374-4847
(408) 708-6596
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
035938
NY
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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