Individual
MRS. CHERYL D MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1298 COATES AVE, HOLBROOK, NY 11741-2440
(631) 475-8819
Mailing address
PO BOX 1571, WEST BABYLON, NY 11704-0571
(631) 475-8819
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
420290-1
NY
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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