- Practice location
- 4802 10TH Ave, Brooklyn, NY 11219-2916
- Phone
- 718-283-3000
- Fax
- —
- Last updated
- August 25, 2009
Ian Medrano is a Nurse Practitioner, Family based in Brooklyn, NY. Ian Medrano practices in Brooklyn, NY. The NPI Number for Ian Medrano is 1699908715 and holds a License No. 335113 (NY). The current practice location address for Ian Medrano is 4802 10TH Ave, Brooklyn, NY 11219-2916 and can be reached out via phone at 718-283-3000.
Provider Profile Details
- NPI Number
- 1699908715
- Provider Name
- Ian Medrano
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4802 10TH Ave, Brooklyn, NY 11219-2916
- Phone Number
- 718-283-3000
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 25, 2009
- Last Update Date
- August 25, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4802 10TH Ave
Brooklyn, NY 11219-2916 - City
- Brooklyn
- State
- New York
- Zip
- 11219-2916
- Phone Number
- 718-283-3000
Provider Business Mailing Address Details
- Address
- 103 Pebble Brook Dr
Clifton, NJ 07014-1740 - City
- Clifton
- State
- NJ
- Zip
- 07014-1740
License Information
- License Number
- 335113
- License State
- NY
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ian Medrano?
The NPI number of Ian Medrano is 1699908715. It was assigned on August 25, 2009 and is currently active in the NPPES registry.
What is the specialty of Ian Medrano?
Ian Medrano is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 335113.
Where does Ian Medrano practice?
The practice location is 4802 10TH Ave, Brooklyn, NY 11219-2916. The office can be reached at 718-283-3000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699908715 directly on the NPPES registry website.