Medina, Lillian S
Medina, Lillian S is an individual health care provider with primary practice located at 80-20 Kew Gardens Suite 704, Kew Gardens NY 11415. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Medina, Lillian S can be contacted via phone (718) 520-1513.Contact Information
Primary practice address
80-20 Kew Gardens Suite 704
Kew Gardens NY 11415
Phone: (718) 520-1513
Fax: (718) 520-6460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 20290 | New York |
Profile Details
| NPI number | 1821253642 |
|---|---|
| LBN Legal business name | Medina, Lillian S |
| Credentials | CASAC-T |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2008 |
| Last updated | Jul 16th, 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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