Doctor Name: | DR. LEIDA ADALGISA MEDINA |
NPI Number: | 1306051859 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 180757-1 |
Business Practice Address: | 3 School St Suite 301 Glen Cove, NY - 115422590 |
Business Phone Number: | 5166761160 |
Business Fax Number: | 5166715231 |
Mailing Address: | 3 School St, Suite 301 GLEN COVE |
State: | NY |
Postal Code: | 115422590 |
Phone Number: | 5166761160 |
Fax Number: | 5166715231 |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 03/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 180757-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |