National Provider Identifier Database

CONSUELITO A MEDRANO, MD – NPI #1578664645
Hematology & Oncology

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.


Contact Information

CONSUELITO A MEDRANO, MD
235 N BELLE MEAD RD
EAST SETAUKET, NY11733-3456
Phone: 631-751-3000
Fax:
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X

* Indicates primary specialty

NPI Profile & details for CONSUELITO A MEDRANO

NPI Number 1578664645
Credentials MD
Entity Individual
Enumeration date 09/25/2006
Last updated 10/28/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 267954
  • NY Medicaid: 03613870
  • NY Other: 5127962 AETNA
  • NY Other: 6759419 CIGNA
  • NY Other: 38Q672 EMPIRE BC/BS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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