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1336163179
WALTER ANDREW MEDINA
FOREST HILLS, NY
NPI
1336163179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: NY 206169)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
Dr. WALTER ANDREW MEDINA D.O.
6370 110TH ST
FOREST HILLS, NY 11375-1440
Phone number: 718-833-8052
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Mailing Address
Dr. WALTER ANDREW MEDINA D.O.
6370 110TH ST
FOREST HILLS, NY 11375-1440
Phone number: 718-833-8052
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