ELIZABETH MEDINA


Address: 217 Havemeyer St, 4th Floor, Brooklyn, NY 11211-6277
Phone: 7189634430

ELIZABETH MEDINA (NPI# 1487726642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487726642
Entity Type Individual
Full Name ELIZABETH MEDINA
Credential MSW
Practice Address 217 Havemeyer St
4th Floor
Brooklyn
NY 11211-6277
Practice Telephone 7189634430
Practice Fax Number 7189630814
Mailing Telephone 7189634430
Mailing Fax Number 7189630814
Enumeration Date 2006-11-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041S0200X Social Worker
Specialization: School
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY FIDELIS 040426034512 01

Other Providers ELIZABETH MEDINA

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1255979365 Elizabeth Anne Medina Registered Nurse 4320 Heavenly Ln, Prosper, TX 75078-9690 2019-12-19
1386289007 Elizabeth Catherine Medina Registered Nurse 5141 Broadway, New York, NY 10034-1159 2019-11-18
1629549076 Elizabeth Mary Medina Nurse Practitioner 1501 Trousdale Dr, Burlingame, CA 94010-4506 2018-12-11
1841739851 Elizabeth Medina Nurse Practitioner 1000 W Carson St, Torrance, CA 90502-2004 2017-02-23
1285180844 Elizabeth Medina Specialist 2001 The Alameda, San Jose, CA 95126-1136 2016-09-01
1679027056 Elizabeth Medina Occupational Therapy Assistant 3027 S New Haven Ave, Tulsa, OK 74114-6131 2016-08-15
1710362595 Elizabeth Medina Case Manager/Care Coordinator 3939 Atlantic Ave, Suite 103, Long Beach, CA 90807 2015-07-22
1225421936 Elizabeth May Medina Occupational Therapist 111 24th Ave Nw, Norman, OK 73069-6388 2015-03-05
1912396664 Elizabeth Medina Occupational Therapy Assistant 1835 W La Veta Ave, Orange, CA 92868-4132 2015-01-19
1326316852 Elizabeth Medina Rehabilitation Practitioner 9650 Zelzah Ave, Northridge, CA 91325-2003 2011-12-12

Office Location

Street Address 217 HAVEMEYER ST
4TH FLOOR
City BROOKLYN
State NY
Zip Code 11211-6277

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548375090 Abigail Juarez-karic Social Worker 217 Havemeyer St, 4th Floor, Brooklyn, NY 11211-6277 2006-08-21
1023388493 Norma D. Espinoza Social Worker 217 Havemeyer St, 4th Floor, Brooklyn, NY 11211-6288 2012-01-03
1295031771 Othoniel Lopez Social Worker 217 Havemeyer St, 4th Fl, Brooklyn, NY 11211-6277 2011-02-01
1750602918 Maritza Mendez Social Worker 217 Havemeyer St, 4 Th Floor, Brooklyn, NY 11211-6277 2010-06-22
1144451238 Denise Michelle Wilson Social Worker 217 Havemeyer St, 4th Floor, Brooklyn, NY 11211-6277 2009-08-06
1578793907 Casey Ann Hickey Social Worker 217 Havemeyer St, 4th Floor, Brooklyn, NY 11211-6277 2009-07-20
1962631812 Christina M Gasparini Social Worker 217 Havemeyer St, Brooklyn, NY 11211-6277 2009-07-13
1053558833 Daniel Gaitan Social Worker 217 Havemeyer St, 4th. Floor, Brooklyn, NY 11211-6277 2009-01-15
1710136734 Lorena Rivera Counselor 217 Havemeyer St, 3rd Floor, Brooklyn, NY 11211-6277 2008-09-15
1619143302 Donna Briceno Social Worker 217 Havemeyer St, Brooklyn, NY 11211-6277 2008-05-02
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1043769805 Jennifer S Budhan Social Worker 378 Union Ave, Office B, Brooklyn, NY 11211 2016-09-21
1174978613 Amor Siozon Physical Therapist 185 Marcy Avenue, Brooklyn, NY 11211 2016-05-03
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Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

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1477108264 Liza Rebecca Bloom Social Worker 878 Saint Johns Pl Apt 1, Brooklyn, NY 11216-4306 2019-08-07
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1194297846 Meera Devi Gopalan Social Worker 275 Conover St Apt 4j, Brooklyn, NY 11231-1036 2018-12-19
1437620267 Avrohom C Klitnick Social Worker 1364 52nd St, Brooklyn, NY 11219-3802 2018-12-05
1205355930 Yosef C Berman Social Worker 1818 54th St, Brooklyn, NY 11204-1545 2017-09-13
1891214789 Faige Wolff Social Worker 1402 40th St Rm 204, Brooklyn, NY 11218-3510 2017-09-12
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1326566571 Mendel Bineth Social Worker 76 Rutledge St, Brooklyn, NY 11249-7814 2017-09-07
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Competitor

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City BROOKLYN
Zip Code 11211

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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