Individual provider · Type 1 NPI

Johanna Beatriz Medina, NP

Transplant Surgery Physician · Manhasset, NY

NPI number 1366189540 Active

Practice location

400 Community Dr
Manhasset, NY 11030-3815

Fax (516) 472-5805

Mailing address

1243 Bretton Rd
Valley Stream, NY 11580-1421

Specialties and licenses

TaxonomyCodeLicense
Transplant Surgery Physician Primary 204F00000X349364 (NY)

Transplant Surgery Physician: A surgeon who specializes in transplant surgery.

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About NPI 1366189540

Johanna Beatriz Medina, NP's National Provider Identifier is 1366189540, issued on May 18, 2022. The primary taxonomy on file is Transplant Surgery Physician (204F00000X), and the practice location is in Manhasset, NY. The record was last updated on May 18, 2022.