Dr. Edwardo J Medina Jr., PHDTHD
Dr. Edwardo J Medina Jr., PHDTHD is a Mental Health Counselor in Staten Island, New York. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
800 Manor Rd #2V Professional Suites #2VStaten Island, NY 10314-7016
Phone: (646) 266-4010
Fax: (718) 761-5562
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence SW081981 |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence SW081981 |
| Marriage & Family Therapist | Taxonomy 106H00000X · Licence SW081981 |
Record details
| NPI number | 1437370137 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHDTHD |
| Sole proprietor | No |
| NPI enumerated | May 1, 2007 |
| Last updated in NPPES | September 11, 2025 |
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