Individual
MRS. KAILA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2119 MERRICK RD, MERRICK, NY 11566-4704
(516) 225-8416
Mailing address
1 ALBERT RD, AMITYVILLE, NY 11701-4013
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
750089
NY
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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