Individual
MARTIN MARTINICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
61 JERICHO TPKE, JERICHO, NY 11753-1051
(516) 544-8899
(516) 362-3939
Mailing address
9972 66TH RD APT 7D, REGO PARK, NY 11374-4443
(516) 587-1113
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432741
NY
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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