MICHAEL MEDINA

BRONX, NY
NPI1467879429
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  311292)
Enumeration Date2014-03-27
Last Update Date2014-03-27
Business Address
-- MICHAEL MEDINA
1510 WATERS PL
BRONX, NY 10461-2700
Phone number: 718-829-3440
Mailing Address
-- MICHAEL MEDINA
1510 WATERS PL
BRONX, NY 10461-2700
Phone number: