Individual
HECTOR RAPHEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
727 MORRIS PARK AVE, BRONX, NY 10462-3653
(631) 519-0761
Mailing address
120 DE KRUIF PL APT 3H, BRONX, NY 10475-2348
(910) 574-5804
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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