Individual
MRS. PAMELA ADASSA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
20 BOOKER BLVD, AMITYVILLE, NY 11701-1507
(631) 375-6636
Mailing address
20 BOOKER BLVD, AMITYVILLE, NY 11701-1507
(631) 375-6636
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
610048-1
NY
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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