Individual
DR. JENNIFER LYNN MARTINDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 GOLD ST APT 4001, NEW YORK, NY 10038-4862
(617) 470-2292
Mailing address
2 GOLD ST APT 4001, NEW YORK, NY 10038-4862
(617) 470-2292
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
264715
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264715
LICENSE NUMBER
NY
Enumeration date
03/25/2008
Last updated
12/22/2021
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