Eugene Medina
Physical Therapist
4 E Jimmie Leeds Rd Ste 3
Galloway
, New Jersey 08205-4465
Eugene Medina
Physical Therapist
4 E Jimmie Leeds Rd Ste 3
Galloway
, New Jersey 08205-4465
(631) 580-5222
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Eugene Medina
- 4175 Veterans Memorial Hwy Suite 202
- Ronkonkoma, NY
- Zip : 11779-7639
- Fax : (631) 580-5222
- Phone : (631) 580-5200
Second Address
- Eugene Medina
- 4 E Jimmie Leeds Rd Ste 3
- Galloway, NJ
- Zip : 08205-4465
- Fax : (609) 748-4282
- Phone : (609) 748-4288
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 40QA01341000 | NJ |
National Provider Identifier
| NPI | 1003133687 |
|---|---|
| Provider Name | Eugene Medina |
| First Address | Ronkonkoma, NY 11779-7639 |
| Second Address | Galloway, NJ 08205-4465 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/04/2010 |
| Last Update Date | 22/04/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.