Individual
MR. LUIS E MARTINEZ SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DR OF MED & SURGERY
Contact information
Practice address
251 EMORY RD, MINEOLA, NY 11501
(516) 741-4669
(516) 741-4697
Mailing address
251 EMORY RD, MINEOLA, NY 11501
(516) 741-4669
(516) 741-4697
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
131999
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00379117
—
NY
Enumeration date
11/09/2006
Last updated
07/08/2007
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