Individual
MARIO F MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(646) 962-5437
Mailing address
21908 IVY LEAF DR, BOYDS, MD 20841-4118
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
309537
NY
Other
Enumeration date
04/27/2018
Last updated
07/09/2021
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