Individual
ADRIEL MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14015B SANFORD AVE FL 2, FLUSHING, NY 11355-2557
(718) 358-8288
(718) 358-5265
Mailing address
13602 64TH RD, FLUSHING, NY 11367-1111
(914) 608-1134
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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