Medina, Juan A

Medina, Juan A is an sole proprietor health care provider with primary practice located at 870 Central Ave , Far Rockaway NY 11691-4660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Medina, Juan A can be contacted via phone (718) 337-5900.

Contact Information

Primary practice address
870 Central Ave Far Rockaway NY 11691-4660
Phone: (718) 337-5900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 245701 New York

Profile Details

NPI number 1326187626
LBN Legal business name Medina, Juan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Sep 27th, 2011 - about 13 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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