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1659990570
YELIZAVETA MEDINA
STATEN ISLAND, NY
NPI
1659990570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-10
Last Update Date
2020-04-10
Business Address
YELIZAVETA MEDINA MD
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9000
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Mailing Address
YELIZAVETA MEDINA MD
110 BADEN PL
STATEN ISLAND, NY 10306-6004
Phone number: 347-401-1440
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