Individual
ANA L MARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6143 186TH ST, FRESH MEADOWS, NY 11365-2710
(929) 200-7105
Mailing address
6143 186TH ST, FRESH MEADOWS, NY 11365-2710
(929) 200-7105
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2561961
NY
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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