Individual
MRS. LILIANA CONSUELO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,OTR/L
Contact information
Practice address
384 E 149TH ST, SUITE 614, BRONX, NY 10455-3908
(718) 585-0614
(718) 993-4999
Mailing address
1818 BUSHWICK AVE, MERRICK, NY 11566-2941
(516) 208-9922
(516) 208-9922
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011108
NY
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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