Individual
LAURA J MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 TECHNOLOGY PKWY, NEWARK, NY 14513-2174
(585) 354-7142
Mailing address
2385 STATE ROUTES 5 AND 20, STANLEY, NY 14561
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
698445
NY
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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