Individual
ANTHONY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
601 SUFFOLK AVE, BRENTWOOD, NY 11717-4309
(855) 295-4144
Mailing address
100 MOTOR PKWY STE 110, HAUPPAUGE, NY 11788-5156
(855) 295-4144
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009059
NY
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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