Individual
SONIA MARTINEZ LONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
640 BELLE TERRE ROAD, BLDG. F, PORT JEFFERSON, NY 11777-0000
(631) 291-7006
Mailing address
1 VILLAGE HILL DR, DIX HILLS, NY 11746-5512
(631) 291-7006
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2667
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2667
—
NY
Enumeration date
08/13/2007
Last updated
08/13/2007
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