JUAN A MEDINA MEDICAL OFFICE

Restricted

JUAN A MEDINA MEDICAL OFFICE is subject to Restricted. See the individual lists below.

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Aliases

Country

United States

Addresses

Address 1 : 32 SAMPSON AVENUE

Address 2 : 32 SAMPSON AVE , ISLANDIA , New York , United States , 11749

ID Details

ID NUMBER : 1477868032

ID TYPE : NPI

ID NUMBER : S4MRB86HL

ID TYPE : SAM Number

ID NUMBER : 1477868032

ID TYPE : NPI Number

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JUAN A MEDINA MEDICAL OFFICE Sanctioned By Below Authorities

List Name	List Authority	Effective Date ▼	Status
General List of Individuals/Entities Excluded from Federal Health and Medicare Programs	U.S. Department of Health and Human Services	Jun 20, 2019	active
U.S. General Services Administration (GSA) Parties Excluded	U.S. General Services Administration (GSA)	Oct 30, 2019	active
Restricted, Terminated or Excluded Individuals or Entities	U.S. Other Government Agencies	Dec 8, 2014	active