IndividualActive
Johanna Medina, NP
NPI 1366189540 · Transplant Surgery Physician · Manhasset, NY
Provider details
- NPI number
- 1366189540
- Entity type
- Individual
- Primary specialty
- Transplant Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 349364 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
400 Community Dr
Manhasset, NY 11030-3815
Phone: (516) 472-5800
Fax: (516) 472-5805
Approximate (ZIP-level) locationGet directions
Mailing address
1243 Bretton Rd
Valley Stream, NY 11580-1421
Registry dates
- Enumerated
- 2022-05-18
- Last updated
- 2022-05-18
- Certified
- 2022-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.