Individual
DANIELLE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ROYAL OAK RD, STATEN ISLAND, NY 10314-2514
(718) 836-2127
Mailing address
15 VANESSA LN, STATEN ISLAND, NY 10312-4176
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1384186
NY
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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