Individual
MADELINE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SERVICE COORDINATOR
Contact information
Practice address
2 ROOSEVELT AVE STE 300, SYOSSET, NY 11791-3064
(516) 495-4460
(516) 921-4432
Mailing address
2 ROOSEVELT AVE STE 300, SYOSSET, NY 11791-3064
(516) 495-4460
(516) 921-4432
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
16219
NY
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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