Individual
MARTHA BERNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
506 LENOX AVE, MLK BLDG, NEW YORK, NY 10037-1802
(212) 939-4442
Mailing address
3530 81ST ST APT 4L, JACKSON HTS, NY 11372-5030
(718) 440-9439
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005749-1
NY
Other
Enumeration date
01/19/2010
Last updated
03/25/2010
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