Individual provider · Type 1 NPI

Clydene C. Medas

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1487563581 Active

Practice location

290 Lenox Ave
New York, NY 10027-4991

Call (212) 663-3000 Map

Mailing address

708 Remsen Ave
Brooklyn, NY 11236-1228

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487563581

Clydene C. Medas's National Provider Identifier is 1487563581, issued on Sep 3, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Sep 3, 2026.