Individual
MR. CARLOS ANIBAL MARTINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTRIL CHT
Contact information
Practice address
107 NORTHERN BLVD, SUITE 308, GREAT NECK, NY 11021-4311
(516) 504-4263
(718) 281-4263
Mailing address
107 NORTHERN BLVD, SUITE 308, GREAT NECK, NY 11021-4311
(516) 504-4263
(718) 281-4263
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007678
NY
Other
Enumeration date
10/12/2006
Last updated
04/04/2013
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