Quelsy Medina

NPI #1104465301 in Islandia, New York

Provider Information

NPI Number: 1104465301
Entity Type: Individual
Name: Quelsy Medina
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 6, 2020
Last Updated: Jan 6, 2020

Practice Location

Address: 1737 VETERANS MEMORIAL HWY
City: Islandia
State: New York
ZIP Code: 11749-1529
Phone: (631) 479-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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