Individual
CARMEN NEREIDA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
16-24 UNION STREET, NURSING OFFICE, MIDDLETOWN, NY 10640
(845) 421-6463
(845) 343-8396
Mailing address
16-24 UNION STREET, NURSING, MIDDLETOWN, NY 10940
(845) 421-6463
(845) 343-8396
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
082444
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082441
NYS DOE
NY
Enumeration date
09/07/2017
Last updated
06/16/2018
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