SearchNew York204F00000X

Johanna Medina, NP

NPI 1366189540 · on the registry since 2022

Practice

Address
400 Community Dr
Manhasset, NY 11030
Phone
(516) 472-5800
Fax
(516) 472-5805
Organisation at this address
Nslij Dental Medicine
Black Hall Dental, P.C.
North Shore University Hospital
North Shore- Long Island Jewish Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
90

Registry record

Primary taxonomy
204F00000X
204F00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-05-18

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