KIRSIS MEDINA


Address: 2052 Tillotson Ave, 101, Bronx, NY 10475-1560
Phone: 7187612100

KIRSIS MEDINA (NPI# 1558655084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558655084
Entity Type Individual
Full Name KIRSIS MEDINA
Credential LPN
Practice Address 2052 Tillotson Ave
101
Bronx
NY 10475-1560
Mailing Address 2052 Tillotson Ave
101
Bronx
NY 10475
Practice Telephone 7187612100
Mailing Telephone 7187612100
Enumeration Date 2011-06-01
Last Update Date 2011-12-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246RP1900X Technician, Pathology
Specialization: Phlebotomy
Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 2052 TILLOTSON AVE
101
City BRONX
State NY
Zip Code 10475-1560

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124155825 Pioneer Homecare Inc. Home Health 2052 Tillotson Ave, Suite 101, Bronx, NY 10475-1560 2007-02-28
1306481627 Ehruvwu Akpovogbeta-day Licensed Practical Nurse 2052 Tillotson Ave, Bronx, NY 10475-1583 2019-11-11
1245764489 Nkechinyere Nwaoha Registered Nurse 2052 Tillotson Ave, Bronx, NY 10475-1560 2017-04-14
1083148225 Adeyemo Dania Licensed Practical Nurse 2052 Tillotson Ave, Bronx, NY 10475-1560 2017-04-14
1093176240 Glenda Willock Licensed Practical Nurse 2052 Tillotson Ave, Bronx, NY 10475-1560 2016-03-16
1386001964 Serna Simms Licensed Practical Nurse 2052 Tillotson Ave, Bronx, NY 10475-1560 2016-01-27
1063879666 Simon Opoku Licensed Practical Nurse 2052 Tillotson Ave, Bronx, NY 10475-1560 2016-01-27
1578920195 Ann Barker-figueroa Registered Nurse 2052 Tillotson Ave, Bronx, NY 10475-1560 2016-01-27
1922465517 Akua Otabil Licensed Practical Nurse 2052 Tillotson Ave, Bronx, NY 10475-1560 2016-01-27
1235596974 Sharon Newton Licensed Practical Nurse 2052 Tillotson Ave, Bronx, NY 10475-1560 2016-01-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154973048 Sharon Antoinette Hall Registered Nurse 2552 Pelham Bay Park West, Apt 1 D, 2551 Pelham Bay Park West, Bronx, NY 10475 2019-07-11
1265912042 Bartow Pharmacy Inc. Pharmacy 500-5 Baychester Ave. Store #5, Bronx, NY 10475 2018-08-21
1518465996 Jacqueline Caraballo Nurse Practitioner 100 De Kruif Place Apt 27h, Bronx, NY 10475 2018-01-31
1093227142 Rachel Obeng Mireku Licensed Practical Nurse 140 Dekruif Place, Apt # 26k, Bronx, NY 10475 2017-10-30
1023534518 Nelson Merritt Hall Chiropractor 2100 Bartow Ave, Ste #227, Bronx, NY 10475 2017-08-17
1245769363 Sharon Holland Johnson Licensed Practical Nurse 140 Dekruif Pl, Bronx, NY 10475 2017-06-12
1740719152 Nadia S Etienne Licensed Practical Nurse 120 De Kruif Place, Apt 18h, Bronx, NY 10475 2017-06-08
1407385891 Ashley N Freeze Case Manager/Care Coordinator 140 Darrow Place Suite 24e, Bronx, NY 10475 2017-06-08
1912454091 Usth.inc Early Intervention Provider Agency 120 Coop City Blvd, 21-f, Bronx, NY 10475 2016-09-06
1447626130 Zelda Boomer Registered Nurse 920 Coop City Blvd Bx. Ny 10475, Bronx, NY 10475 2015-08-17
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Taxonomy Information

Taxonomy Code 246RP1900X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Phlebotomy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922559608 Jadica Alexis Marrero Technician, Pathology 100 Einstein Loop Apt 23g, Bronx, NY 10475-4948 2016-10-18
1669846143 Marsha Moona Technician, Pathology 1263 Fteley Ave, Bronx, NY 10472-2801 2015-11-19
1679056642 Djenabou Bah Technician, Pathology 391 E 149th St Rm 417, Bronx, NY 10455-3907 2018-09-14
1689034654 Walter Xavier Zavala-salas Technician, Pathology 593 E Tremont Ave, Bronx, NY 10457 2016-03-03
1003280470 Stanley Seetaram Technician, Pathology 1263 Fteley Ave, Bronx, NY 10472-2801 2015-11-21
1093155723 Zenobia M Colon Technician, Pathology 804 E 138th St, Bronx, NY 10454-1902 2013-06-26
1992142103 Kam D Brookins Technician, Pathology 1510 Waters Pl, Bronx, NY 10461-2700 2013-05-29
1174836449 Nydia Lopez Technician, Pathology 260 E 161st St, Bronx, NY 10451-3512 2010-07-15
1588977979 Darryl S Allen Technician, Pathology 1510 Waters Pl, Bronx, NY 10461-2700 2010-07-14
1851603252 Diana Valentin Technician, Pathology 1510 Waters Pl, Bronx, NY 10461-2700 2010-07-14
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Competitor

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City BRONX
Zip Code 10475

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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