Individual
AMY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 W 34TH ST FL 9, NEW YORK, NY 10122-0901
(212) 804-7659
Mailing address
6214 RIVERDALE AVE, BRONX, NY 10471-1032
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
12/16/2020
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