Individual
MR. HENRY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
1444 30TH DR APT 1, ASTORIA, NY 11102-3662
(551) 482-8062
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308528
NY
Other
Enumeration date
12/05/2017
Last updated
06/08/2020
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