Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. IVAN ALDO MEDRANO, LMSW
Active Sole ProprietorMR. IVAN ALDO MEDRANO, LMSW is a Local Education Agency healthcare provider located in HOWARD BEACH, New York. NPI 1790188647 is currently active in the NPPES registry. Verify at CMS.
Local Education Agency · HOWARD BEACH, NY
Registration Details
- NPI Number
- 1790188647
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2014 (11.894687120488 yrs)
- Last Updated
- Oct 7, 2014
- License
-
0931321 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8212 151ST AVEHOWARD BEACH, NY, 114141793Browse NY providers · Browse ZIP 11414
- Phone
- 7188480300
- Fax
- 7188352862
- Primary Specialty
-
Local Education Agency
251300000X
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.