Individual
CHANOA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3000
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
312840
NY
Other
Enumeration date
04/06/2018
Last updated
02/08/2024
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