Individual
MS. KERI MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
100 NICOLLS RD, STONY BROOK, NY 11794-2107
(631) 444-2078
Mailing address
100 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2078
(631) 638-1199
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311893
NY
Other
Enumeration date
09/03/2011
Last updated
10/01/2024
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