Individual
MR. BRIAN ALBERTO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
137 BERGOLD ST, BRENTWOOD, NY 11717-5042
(631) 790-7468
Mailing address
137 BERGOLD ST, BRENTWOOD, NY 11717-5042
(631) 790-7468
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
925368
NY
164W00000X
Licensed Practical Nurse
323713
NY
Other
Enumeration date
10/13/2015
Last updated
07/21/2025
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