Medina, Patricia

Medina, Patricia is an individual health care provider with primary practice located at 8201 37Th Ave 4Th Floor, Jackson Heights NY 11372-7011. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Medina, Patricia can be contacted via phone (718) 424-0303.

Contact Information

Primary practice address
8201 37Th Ave 4Th Floor Jackson Heights NY 11372-7011
Phone: (718) 424-0303
Fax: (718) 424-0920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 023916 New York

Profile Details

NPI number 1124117767
LBN Legal business name Medina, Patricia
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1124117767 NPPES
New York MEDICAID 02426204

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