Individual
MS. AMANDA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
1133 WESTCHESTER AVE # 230, WHITE PLAINS, NY 10604-3516
(914) 576-5292
Mailing address
1133 WESTCHESTER AVE # 230, WHITE PLAINS, NY 10604-3516
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1203983
NY
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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