Mikee Medina
NPI #1164396438 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1164396438
- Entity Type
- Individual
- Name
- Mikee Medina
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Sep 30, 2025
- Last Updated
- Sep 30, 2025
Practice Location
- Address
- 530 CANAL RD
- State
- New York
- ZIP Code
- 11776-3068
- Phone
- (571) 337-8686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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