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Marlene Isela Medina-johnson
Family Nurse Practitioner in Cornwall, New York
NPI 1841709284

Marlene Isela Medina-johnson is a Family Nurse Practitioner based in Newburgh, NY and is specialized in Family. Marlene Isela Medina-johnson practices in Cornwall, NY. The NPI Number for Marlene Isela Medina-johnson is 1841709284 and holds a License No. F341123-1 (New York).

The current practice location address for Marlene Isela Medina-johnson is 2570 Us Highway 9W Ste 4, Cornwall, NY and can be reached out via phone at 845-534-1505.

Location: 2570 Us Highway 9W Ste 4, Cornwall, NY, 12550-4403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841709284
Provider Name
Marlene Isela Medina-johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2570 Us Highway 9W Ste 4, Cornwall, NY, 12550-4403
Phone Number
845-534-1505
Fax Number
Provider Enumeration Date
09/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2570 Us Highway 9W Ste 4
City
Cornwall
State
New York
Zip
12518-1359
Phone Number
845-534-1505
Fax Number
person
Provider Business Mailing Address Details
Address
2570 Us Highway 9W Ste 4
City
Cornwall
State
New York
Zip
12518-1359
Phone Number
845-534-1505
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F341123-1 (New York)
Definition
Definition to come...
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