Medina, Elizabeth Catherine
Medina, Elizabeth Catherine is an individual health care provider with primary practice located at 1797 Dutch Broadway Clinic #2061, Elmont NY 11003-4243. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Medina, Elizabeth Catherine can be contacted via phone (516) 561-1340.Contact Information
Primary practice address
1797 Dutch Broadway Clinic #2061
Elmont NY 11003-4243
Phone: (516) 561-1340
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 679425 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F346807-01 | New York |
Profile Details
| NPI number | 1386289007 |
|---|---|
| LBN Legal business name | Medina, Elizabeth Catherine |
| Credentials | FNP-BC MSN RN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2019 |
| Last updated | Dec 6th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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