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Individual

MISS AMY LEA MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
WINTHROP-UNIVERSITY HOSPITAL, 259 FIRST STREET, MINEOLA, NY 11501
(516) 663-0333
Mailing address
50 CHRISTOPHER COLUMBUS DR, APT 2812, JERSEY CITY, NJ 07302-7005
(646) 761-5618

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381863-1
NY

Other

Enumeration date
07/23/2007
Last updated
01/20/2014
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