Individual
MS. MARIETTA FELICIA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
2209 BROOKWOOD LN, EAST PATCHOGUE, NY 11772-7109
(631) 394-1970
(631) 394-1970
Mailing address
2209 BROOKWOOD LN, EAST PATCHOGUE, NY 11772-7109
(631) 394-1970
(631) 394-1970
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
360323
NY
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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