Individual
AQUILAH MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
75 LIBERTY AVE APT 82, JERSEY CITY, NJ 07306-5032
(917) 862-5215
(718) 347-4643
Mailing address
35 TULIP AVENUE, FLORAL PARK, NY 11002-0838
(917) 862-5215
(718) 347-4643
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
270352
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02603414
—
NY
Enumeration date
02/28/2007
Last updated
07/09/2007
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