LILLIAN S MEDINA

KEW GARDENS, NY
NPI1821253642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  20290)
Enumeration Date2008-07-21
Last Update Date2021-07-16
Business Address
LILLIAN S MEDINA CASAC-T
80-20 KEW GARDENS SUITE 704
KEW GARDENS, NY 11415
Phone number: 718-520-1513
Mailing Address
LILLIAN S MEDINA CASAC-T
15648 77TH ST
HOWARD BEACH, NY 11414-2569
Phone number:
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