Organization · Type 2 NPI
Juan A Medina Medical Office PC
Primary Care Clinic/Center · Far Rockaway, NY
NPI number
1477868032
Active
Practice location
870 Central Ave
Far Rockaway, NY 11691-4660
Fax (718) 337-2390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 245701 (NY) |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
Other primary care clinic/center providers in Far Rockaway
About NPI 1477868032
Juan A Medina Medical Office PC's National Provider Identifier is 1477868032, issued on Aug 6, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Far Rockaway, NY. The record was last updated on Aug 6, 2010.