Individual
MARIAN FIONA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5676 RIVERDALE AVE STE 202, BRONX, NY 10471-2100
(718) 796-5300
Mailing address
6300 RIVERDALE AVE APT 2H, BRONX, NY 10471-1034
(646) 228-8727
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
539917-1
NY
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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