Individual
ANDREZA MARTINTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
74 MILL DR, MASTIC BEACH, NY 11951-1403
(516) 323-9418
Mailing address
71 CHARLES ST, APT 1A, MINEOLA, NY 11501-1905
(516) 323-9418
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
670172-1
NY
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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