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Rene Mediavillo, M.D
NPI 1376622019 · on the registry since 2006
Practice
- Address
- 9202 Liberty Ave
Ozone Park, NY 11417 - Phone
- (718) 835-9729
- Fax
- (718) 925-9817
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
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