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1366189540
JOHANNA BEATRIZ MEDINA
MANHASSET, NY
NPI
1366189540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
204F00000X Transplant Surgery
(Licence: NY 349364)
Enumeration Date
2022-05-18
Last Update Date
2022-05-18
Business Address
JOHANNA BEATRIZ MEDINA NP
400 COMMUNITY DR
MANHASSET, NY 11030-3815
Phone number: 516-472-5800
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Mailing Address
JOHANNA BEATRIZ MEDINA NP
1243 BRETTON RD
VALLEY STREAM, NY 11580-1421
Phone number: 718-551-6297
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