Individual
LOREN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6506 ROOSEVELT AVE, WOODSIDE, NY 11377-2928
(718) 639-3603
(718) 639-3605
Mailing address
5301 66TH ST, MASPETH, NY 11378-1734
(718) 639-3603
(718) 639-3605
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/28/2017
Last updated
01/20/2022
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