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
| Taxonomy | Code | License |
|---|---|---|
| Transplant Surgery Physician Primary | 204F00000X | 349364 (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.