Individual
MS. FAWN ERIN MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2920 WILSON AVENUE, BRONX, NY 10469
(347) 281-5313
Mailing address
2920 WILSON AVENUE, BRONX, NY 10469
(347) 281-5313
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
616240-1
NY
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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