EDWARD MEDINA

BRONX, NY
NPI1902010572
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NY  R037867)
Enumeration Date2007-05-10
Last Update Date2007-07-08
Business Address
MR. EDWARD MEDINA LCSW
3302 STEUBEN AVE
BRONX, NY 10467-2806
Phone number: 718-920-4955
Mailing Address
MR. EDWARD MEDINA LCSW
105 LINDA PL
CORTLANDT MANOR, NY 10567-1632
Phone number: 914-734-2163
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