Individual
VICTORIA MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 LE BRITTON ST, LOCUST VALLEY, NY 11560-2004
(516) 852-0071
Mailing address
15 LE BRITTON ST, LOCUST VALLEY, NY 11560-2004
(516) 852-0071
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00005835
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00005835
—
NY
01
—
480033698
RRPRV
—
Enumeration date
08/01/2006
Last updated
11/25/2024
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