Medina, Fawn Erin

Medina, Fawn Erin is an individual health care provider with primary practice located at 2920 Wilson Avenue , Bronx NY 10469. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Medina, Fawn Erin can be contacted via phone (347) 281-5313.

Contact Information

Primary practice address
2920 Wilson Avenue Bronx NY 10469
Phone: (347) 281-5313
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 616240-1 New York

Profile Details

NPI number 1518401629
LBN Legal business name Medina, Fawn Erin
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2016
Last updated Dec 8th, 2016 - about 8 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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