Individual
MOISES MANUAL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 WATERS PL, BRONX, NY 10461-2723
(718) 931-0600
Mailing address
1274 15TH ST, FORT LEE, NJ 07024-1939
(201) 224-0473
(201) 224-0473
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
60 P77237
NY
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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