Individual
LUIS ALFREDO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 NORTH AVE, NEW ROCHELLE, NY 10805-3505
(347) 224-7985
Mailing address
35 NORTH AVE, NEW ROCHELLE, NY 10805-3505
(347) 224-7985
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
705703662
NY
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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