Individual
RENEE M MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
375 MAIN ST, ISLIP, NY 11751-3542
(631) 446-1046
(631) 446-1300
Mailing address
77 WESTON AVE, DEER PARK, NY 11729-6044
(631) 371-7672
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024378
NY
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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