Individual
DR. LAURA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
130 FORT WASHINGTON AVE OFC 1A, NEW YORK, NY 10032-4745
(212) 568-2600
(212) 568-0097
Mailing address
877 10TH AVE APT 2S, NEW YORK, NY 10019-1055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009998
NY
Other
Enumeration date
07/23/2024
Last updated
04/11/2025
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