Individual
LAUREN ELIZABETH MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-7002
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-7002
(212) 717-3373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
600236
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382449
NY
Other
Enumeration date
07/23/2013
Last updated
05/12/2017
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