DR. EDWARDO MEDINA JR., PHD THD
Counselor - Mental Health
Active
Individual
NPI: 1437370137
Practice Address
800 MANOR RD #2VPROFESSIONAL SUITES #2V
Staten Island, NY 10314
Phone: (646) 266-4010
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | SW081981 () |
| Social Worker - Clinical | 1041C0700X | No | SW081981 () |
| Marriage & Family Therapist | 106H00000X | No | SW081981 () |
Frequently Asked Questions
NPI 1437370137 is the National Provider Identifier for DR. EDWARDO MEDINA JR., PHD THD, a Counselor - Mental Health provider located in Staten Island, NY. This NPI was enumerated on May 1, 2007.
DR. EDWARDO MEDINA JR., PHD THD practices at 800 MANOR RD #2V, PROFESSIONAL SUITES #2V, Staten Island, NY 10314.
Quick Facts
- NPI
- 1437370137
- Type
- Individual
- Enumerated
- May 1, 2007
- Last Updated
- Sep 11, 2025
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