Individual
ANGELGANA MEDINA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4308 52ND ST, WOODSIDE, NY 11377-3256
(718) 358-8288
Mailing address
421 VAN SICLEN AVE, BROOKLYN, NY 11207-4312
(929) 358-5124
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
124727
NY
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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