SearchNew York101YA0400X

Lillian Medina, CASAC-T

NPI 1821253642 · on the registry since 2008

Practice

Address
80-20 Kew Gardens
Suite 704
Kew Gardens, NY 11415
Phone
(718) 520-1513
Fax
(718) 520-6460

Additional practice sites

  • 3584 Jerome Ave, Bronx, NY

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-16

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