Individual
NICHOLAS MARTINEZ REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
133 E 58TH ST, 15TH FLOOR, NEW YORK, NY 10022-1236
(212) 751-8300
Mailing address
133 E 58TH ST, 15TH FLOOR, NEW YORK, NY 10022-1236
(212) 751-8300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002743-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1340673
PROFESSIONAL PROLIABILITY
NY
Enumeration date
01/02/2016
Last updated
01/02/2016
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