Individual
MARTINA LIRIOS-SICILIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2174 PAULDING AVE, BRONX, NY 10462-2100
(718) 918-1652
(718) 918-1652
Mailing address
2174 PAULDING AVE, BRONX, NY 10462-2100
(718) 918-1652
(718) 918-1652
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
152323
NY
261QH0100X
Health Service Clinic/Center
Primary
152323
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152323
—
NY
Enumeration date
03/11/2010
Last updated
03/11/2010
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