Individual
DERACZI S MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
38 JENNINGS RD, RICHFORD, NY 13835
(607) 423-8613
(607) 213-4050
Mailing address
38 JENNINGS RD, FIRST FLOOR CLINIC, RICHFORD, NY 13835-2127
(607) 423-8613
(607) 213-4050
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027890
NY
Other
Enumeration date
03/17/2025
Last updated
04/17/2026
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