Individual
NURIA MARLENE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 442-2050
Mailing address
PO BOX 1556, STONY BROOK, NY 11790-0850
(631) 742-2378
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
736409
NY
176B00000X
Midwife
Primary
F002158
NY
Other
Enumeration date
07/21/2022
Last updated
09/07/2022
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