Individual
KIRSIS MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2052 TILLOTSON AVE, 101, BRONX, NY 10475-1560
(718) 761-2100
Mailing address
2052 TILLOTSON AVE, 101, BRONX, NY 10475
(718) 761-2100
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
06/01/2011
Last updated
12/02/2011
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