Individual
YAMILKA D MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 E CHESTER ST, VALLEY STREAM, NY 11580-4708
(718) 807-1627
Mailing address
220 E CHESTER ST, VALLEY STREAM, NY 11580-4708
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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