Individual
ELIZABETH M MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
MMC - DEPT. OF MEDICINE, 1825 EASTCHESTER ROAD, BRONX, NY 10461
(718) 904-2400
Mailing address
528 W 145TH ST, APT. 2C, NEW YORK, NY 10031-5427
(718) 904-2400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009422
NY
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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