Individual
DR. JENNIFER REYES MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
25 W 68TH ST, STE. 1A, NEW YORK, NY 10023-5302
(212) 579-8885
Mailing address
20 W 72ND ST, APT. 804, NEW YORK, NY 10023-4100
(917) 697-1756
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050334-1
NY
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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