Individual
CONSUELITO ANA MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
235 N BELLE MEAD RD, EAST SETAUKET, NY 11733-3456
(631) 751-3000
Mailing address
235 N BELLE MEAD RD, EAST SETAUKET, NY 11733-3456
(631) 751-3000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
267954
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03613870
—
NY
01
—
38Q672
EMPIRE BC/BS
NY
01
—
5127962
AETNA
NY
01
—
6759419
CIGNA
NY
Enumeration date
09/25/2006
Last updated
10/28/2021
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