Individual
ANTONINE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1783 NEW YORK AVE, BROOKLYN, NY 11210-3950
(347) 692-6823
Mailing address
1783 NEW YORK AVE, BROOKLYN, NY 11210-3950
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
328373
NY
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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