Quelsy Medina
Behavior Technician in Islandia, NY. Individual provider (NPI-1).
NPI number1104465301
StatusActive
Last updated in NPPESJan 6, 2020
Details
- NPI
- 1104465301
- Entity type
- Individual (NPI-1)
- Name
- Quelsy Medina
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2020
- Certification date
- Jan 6, 2020
- Last updated
- Jan 6, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1737 Veterans Memorial HwyIslandia, NY 11749-1529
Phone 631-479-2900
Mailing address
1737 Veterans Memorial HwyIslandia, NY 11749-1529
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Behavior Technician providers in Islandia · All 378 providers in Islandia
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