Individual
MELISSA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9033 ELMHURST AVE, JACKSON HEIGHTS, NY 11372-7935
(718) 565-2970
Mailing address
8440 PARSONS BLVD, JAMAICA, NY 11432-1644
(917) 803-5545
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P124121
NY
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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