Organization
YONKERS GENERAL MEDICAL PRACTICE,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO ANTONIO MARTINEZ M.D. (PRESIDENT)
(917) 837-4210
Entity
Organization
Contact information
Practice address
48 WARBURTON AVE, YONKERS, NY 10701-2723
(917) 837-4210
Mailing address
48 WARBURTON AVE, YONKERS, NY 10701-2723
(917) 837-4210
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
181742
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336171040
NPI
NY
Enumeration date
02/03/2014
Last updated
02/03/2014
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