Individual
DR. BIANCA MARTINEZ-EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
388 E FORDHAM RD, BRONX, NY 10458
(718) 489-3553
(718) 489-3554
Mailing address
1345 RXR PLZ FL 13, UNIONDALE, NY 11556-1301
(516) 453-0435
(646) 846-3283
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
268601
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2012
Last updated
01/25/2019
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