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1356999015
GENEVIEVE MEDINA
STATEN ISLAND, NY
NPI
1356999015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
GENEVIEVE MEDINA
3391 RICHMOND AVE
STATEN ISLAND, NY 10312-2025
Phone number: 718-608-9170
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Mailing Address
GENEVIEVE MEDINA
84 DARNELL LN
STATEN ISLAND, NY 10309-1951
Phone number: 718-614-8310
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