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:
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Health care specialties

SpecialtyCodeLicense #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 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730227125 NPPES
Pennsylvania MEDICAID PENDING

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