Individual
PAIGE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
Mailing address
8 OLD ORCHARD LN, RIDGE, NY 11961-2606
(631) 617-1967
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
765509
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405097
NY
Other
Enumeration date
04/26/2023
Last updated
02/18/2026
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