Iliana Paola Medina
Social Worker
579 Courtlandt Ave
Bronx
, New York 10451-5013
Iliana Paola Medina
Social Worker
579 Courtlandt Ave
Bronx
, New York 10451-5013
(718) 485-2100
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About
Features
Specialties
- Social Worker
Languages spoken
- English
Location
First Address
- Iliana Paola Medina
- 579 Courtlandt Ave
- Bronx, NY
- Zip : 10451-5013
- Phone : (718) 485-2100
Second Address
- Iliana Paola Medina
- 579 Courtlandt Ave
- Bronx, NY
- Zip : 10451-5013
- Phone : (718) 485-2100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 104100000X | Social Worker |
National Provider Identifier
| NPI | 1003384405 |
|---|---|
| Provider Name | Iliana Paola Medina |
| First Address | Bronx, NY 10451-5013 |
| Second Address | Bronx, NY 10451-5013 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/11/2018 |
| Last Update Date | 03/09/2020 |
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.