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1376191791
DANA TYLER MEDINA
BROOKLYN, NY
NPI
1376191791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
DANA TYLER MEDINA
3201 KINGS HWY
BROOKLYN, NY 11234-2625
Phone number: 718-757-5940
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Mailing Address
DANA TYLER MEDINA
8137 165TH ST
JAMAICA, NY 11432-1209
Phone number:
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