Individual
DAVID NON MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COMMERCIAL DRIVER
Contact information
Practice address
1933 GREENVILLE TNPK, PORT JERVIS, NY, USA, NY 12771-3264
(845) 820-4989
(845) 856-2859
Mailing address
1933 GREENVILLE TNPK, PORT JERVIS, NY, USA, NY 12771-3264
(845) 820-4989
(845) 856-2859
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
846396XXX
NY
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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