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Search › New York › 1041C0700X

Juan Medina

NPI 1306678347 · on the registry since 2024 · sole proprietor

Practice

Address
3249 Kingsbridge Ave
Bronx, NY 10463
Phone
(646) 204-2295
Organisation at this address
Footprints Mental Health Counseling, P. C.
Safe Space Licensed Clinical Social Work, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
209

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York