Individual
SHAINA M MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
886 LAFAYETTE AVE, APARTMENT 4, BROOKLYN, NY 11221-1902
(917) 261-1604
Mailing address
886 LAFAYETTE AVE, APARTMENT 4, BROOKLYN, NY 11221-1902
(917) 261-1604
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
590020
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F382080-1
NY
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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