JOSE L. MEDINA

BRONX, NY
NPI1265801286
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  17940)
Enumeration Date2015-09-21
Last Update Date2015-09-21
Business Address
-- JOSE L. MEDINA CASAC
1285 FULTON AVE
BRONX, NY 10456-3401
Phone number: 718-518-3700
Mailing Address
-- JOSE L. MEDINA CASAC
1285 FULTON AVE
BRONX, NY 10456-3401
Phone number: 718-518-3700
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