Individual
CAROLINA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7580 184TH ST, FRESH MEADOWS, NY 11366-1715
(718) 844-5390
Mailing address
3121 80TH ST, EAST ELMHURST, NY 11370-1933
(347) 536-9616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P138757
NY
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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