Individual
MS. TRINA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2901 216TH ST, BAYSIDE, NY 11360-2810
(917) 399-7979
Mailing address
2901 216TH ST, BAYSIDE, NY 11360-2810
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
553043
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
383020
NY
Other
Enumeration date
08/21/2013
Last updated
12/08/2020
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