Individual
MS. MARY-KATE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
75-02 162ND ST, FRESH MEADOWS, NY 11366
(718) 591-1500
(718) 591-8751
Mailing address
75-02 162ND ST, FRESH MEADOWS, NY 11366
(718) 591-1500
(718) 591-8751
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
0204151
NY
Other
Enumeration date
06/07/2016
Last updated
12/27/2016
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