Individual
DR. ROSE ELISABETH MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
77 DECKER AVE, SIDE ENTRANCE, STATEN ISLAND, NY 10302-2114
(164) 630-0197
(164) 630-0197
Mailing address
77 DECKER AVE, SIDE ENTRANCE, STATEN ISLAND, NY 10302-2114
(164) 630-0197
(164) 630-0197
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5415941
NY
163WH0200X
Home Health Registered Nurse
Primary
5415941
NY
Other
Enumeration date
08/13/2011
Last updated
08/13/2011
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