Edward Medina is a Clinical in Cortlandt Manor, New York. Edward Medina practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edward Medina is 1902010572. The last update date is 2007-07-08.
Edward Medina's current location address is 105 Linda Pl, Cortlandt Manor, New York. You can contact this provider via phone number 9147342163. The mailing address for Edward Medina is 105 Linda Pl, Cortlandt Manor, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Medina |
|---|---|
| Address | 105 Linda Pl, Cortlandt Manor, New York |
| Phone Number | 9147342163 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1902010572 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 105 Linda Pl |
|---|---|
| City | Cortlandt Manor |
| State | New York (NY) |
| Post Code | 105671632 |
| Phone Number | 9147342163 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R037867 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identification code issued to Edward Medina by the Centers for Medicare & Medicaid Services?
The Edward Medina has been assigned the NPI (National Provider Identifier) 1902010572 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Edward Medina?
The Edward Medina is physically situated at 105 Linda Pl, in the city of Cortlandt Manor, state of NY, with the postal code 105671632.
What is Edward Medina's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Edward Medina is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did Edward Medina receive its 1902010572 assignment from the Centers for Medicare & Medicaid Services?
The Edward Medina was assigned its 1902010572 on 2007-05-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Edward Medina's details last updated?
The information pertaining to the Edward Medina, including its address, specialty, and other details, was most recently updated on 2007-07-08.