MR. Ivan Aldo Medrano, LMSW
NPI #1790188647 in Howard Beach, New York
Provider Information
- NPI Number
- 1790188647
- Entity Type
- Individual
- Name
- MR. Ivan Aldo Medrano, LMSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Local Education Agency (LEA)
- Credential
- LMSW
- Enumeration Date
- Oct 7, 2014
- Last Updated
- Oct 7, 2014
Practice Location
- Address
- 8212 151ST AVE
- City
- Howard Beach
- State
- New York
- ZIP Code
- 11414-1793
- Phone
- (718) 848-0300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Local Education Agency (LEA) |
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