Individual
MARINA MEDVED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 4TH ST, NORTH COUNTRY HEALTHCARE, MALONE, NY 12953-1329
(518) 481-6044
Mailing address
24 4TH ST, NORTH COUNTRY HEALTHCARE, MALONE, NY 12953-1329
(518) 481-6044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
219878
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02409772
—
NY
01
—
364144
MVP HEALTH PLAN
NY
01
—
5996909
GHI FAMILY HEALTH PLUS
NY
01
—
P010219878
EXCELLUS BCBS
NY
Enumeration date
06/11/2006
Last updated
05/06/2008
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