Individual
MR. DANIEL MARTINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
2204 CRESCENT ST, ASTORIA, NY 11105-3106
(718) 204-5249
(718) 204-5249
Mailing address
2204 CRESCENT ST, ASTORIA, NY 11105-3106
(718) 204-5249
(718) 204-5249
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00616293
—
NY
Enumeration date
07/03/2006
Last updated
07/09/2007
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