National Provider Identifier
Maya Gladys Medina
Maya Gladys Medina is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 713-4792.
Profile Overview
- NPI
- 1336605260
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- February 15, 2019
- Last Updated
- February 15, 2019
Practice Location
- 66 Pomeroy St
- Rochester, NY 14621-4034
Phone: (585) 713-4792
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1336605260
- Entity Type
- Individual
- Last Name
- Medina
- First Name
- Maya
- Middle Name
- Gladys
- Mailing Street Address
- 66 Pomeroy St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-4034
- Mailing Country
- US
- Mailing Phone
- (585) 713-4792
- Practice Street Address
- 66 Pomeroy St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-4034
- Practice Country
- US
- Practice Phone
- (585) 713-4792
- Enumeration Date
- February 15, 2019
- Last Updated
- February 15, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)