Individual
CHRISTINE D MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10318 MATTOON RD, PRATTSBURGH, NY 14873-9335
(607) 794-1743
Mailing address
10318 MATTOON RD, PRATTSBURGH, NY 14873-9335
(607) 794-1743
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290275
NY
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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