Individual
DR. CHRISTOPHER CARLOS MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5800 HERITAGE LANDING DR STE C, EAST SYRACUSE, NY 13057-9378
(315) 445-2701
(315) 445-2847
Mailing address
1001 W FAYETTE ST STE 400, SYRACUSE, NY 13204-2866
(315) 937-3433
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
241815
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03450039
—
NY
Enumeration date
11/16/2006
Last updated
07/01/2024
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