Individual
JAHAIRA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 ASTOR AVE LBBY 1A, BRONX, NY 10469-5900
(347) 571-2179
(718) 858-4857
Mailing address
1500 ASTOR AVE LBBY 1A, BRONX, NY 10469-5900
(347) 571-2179
(718) 858-4857
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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