Individual
CAMILA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 PANFIELD PL, MOUNT SINAI, NY 11766-2343
(631) 637-9699
Mailing address
5 PANFIELD PL, MOUNT SINAI, NY 11766-2343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
775208
NY
363LA2200X
Adult Health Nurse Practitioner
F311304
NY
Other
Enumeration date
05/17/2021
Last updated
10/05/2023
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