Medina, Carlos
Medina, Carlos is an individual health care provider with primary practice located at 525 E 68Th St # 94 Department Of Pediatric Urology, New York NY 10065-4870. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Medina, Carlos can be contacted via phone (212) 746-5361.Contact Information
Primary practice address
525 E 68Th St # 94 Department Of Pediatric Urology
New York NY 10065-4870
Phone: (212) 746-5361
Fax: (121) 746-8065
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | MD429306 | Pennsylvania |
Allopathic & Osteopathic Physicians / Urology | 208800000X | 247542-1 | New York |
Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | 247542 | New York |
Profile Details
NPI number | 1730227125 |
---|---|
LBN Legal business name | Medina, Carlos |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 1st, 2007 |
Last updated | Dec 18th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730227125 | NPPES |
Pennsylvania | MEDICAID | PENDING |
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