Individual
MARTIKA VICTORIA CABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2114
Mailing address
1077 HARVARD ST APT 1, ROCHESTER, NY 14610-1756
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
732850
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
432678
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
432678
NEW YORK STATE OFFICE OF PROFESSIONS
NY
01
—
732850
NEW YORK STATE OFFICE OF PROFESSIONS
NY
Enumeration date
04/21/2023
Last updated
06/13/2023
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