Individual
YENY MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2772 VALENTINE AVE APT B9, BRONX, NY 10458-3318
(347) 271-0973
Mailing address
1723 E 12TH ST FL 5, BROOKLYN, NY 11229-1069
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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