Medina, Elizabeth Catherine

Medina, Elizabeth Catherine is an individual health care provider with primary practice located at 1797 Dutch Broadway Clinic #2061, Elmont NY 11003-4243. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Medina, Elizabeth Catherine can be contacted via phone (516) 561-1340.

Contact Information

Primary practice address
1797 Dutch Broadway Clinic #2061 Elmont NY 11003-4243
Phone: (516) 561-1340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 679425 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F346807-01 New York

Profile Details

NPI number 1386289007
LBN Legal business name Medina, Elizabeth Catherine
Credentials FNP-BC MSN RN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2019
Last updated Dec 6th, 2021 - about 3 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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