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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JACOB MEDINA, LPN

Active Sole Proprietor

MR. JACOB MEDINA, LPN is a Licensed Practical Nurse healthcare provider located in BUFFALO, New York. NPI 1245585470 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · BUFFALO, NY

Registration Details

NPI Number
1245585470
Provider Type
Individual
Gender
Male
NPI Issued
Jul 13, 2012 (14.061591774701 yrs)
Last Updated
Jul 13, 2012
License
244459 (NY)
Sole Proprietor
Yes

Practice Information

Address
85 GELSTON ST
BUFFALO, NY, 142131524
Browse NY providers · Browse ZIP 14213
Phone
7165337175
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in BUFFALO, NY

Name Credential NPI
MS. DARLENE F. GORDON LPN 1649360173
ABDULLAH ABDUL-HAQQ LPN 1952469306
JENNIFER ANN LANPHERE LPN 1952468282
MISS MOLLY A PAYNE LPN 1003969833
MS. DE'SHANTEL GREY LPN 1528193372
CASSANDRA SLEY LPN 1487780474
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.