Individual provider · Type 1 NPI

Paulique Fanouria Medina, LMSW

Specialist · Astoria, NY

NPI number 1447905997 Active

Practice location

2258 47th St
Astoria, NY 11105-1310

Call (646) 884-3269 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X113082 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1447905997

Paulique Fanouria Medina, LMSW's National Provider Identifier is 1447905997, issued on Feb 14, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Astoria, NY. The record was last updated on Feb 14, 2022.