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Individual

EMMA MEDINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
140 LOCKWOOD AVE STE 310, NEW ROCHELLE, NY 10801-4909
(914) 632-1600
(914) 576-4770
Mailing address
140 LOCKWOOD AVE STE 310, NEW ROCHELLE, NY 10801-4909
(914) 632-1600
(914) 576-4770

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
143497
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0046926
AETNA
01
0066930
GHI
NY
05
00863727
NY
01
0367045
CIGNA
01
2C4799
HEALTHNET
NY
01
WS902
OXFORD
NY
Enumeration date
10/24/2006
Last updated
06/03/2008
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