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1629004700
MANUEL MEDINA
STATEN ISLAND, NY
NPI
1629004700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NY 237891)
Enumeration Date
2006-06-23
Last Update Date
2007-07-08
Business Address
-- MANUEL MEDINA MD
355 BARD AVE
STATEN ISLAND, NY 10310
Phone number: 718-818-1234
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Mailing Address
-- MANUEL MEDINA MD
3733 RICHMOND AVE
STATEN ISLAND, NY 10312
Phone number: 718-948-6177
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