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NPI Code Detail

MEDICARE: MS. LINDA C MARTINEZ LCSW

MEDICARE:  MS. LINDA C MARTINEZ  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerR021303 1NY

General Provider Information

NPI Number : 1568653046
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA C MARTINEZ LCSW
Provider Business Mailing Address
First Line : 10 WEST 15TH STREET
Second Line : APT 410
City : NEW YORK
State : NY
Zip : 10011-6818
Country : US
Telephone Number : 212-217-9185
Fax Number :
Provider Business Practice Location Address
First Line : 10 WEST 15TH STREET
Second Line : APT 410
City : NEW YORK
State : NY
Zip : 10011-6818
Country : US
Telephone Number : 212-217-9185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2007
Last Update Date : 08/08/2007

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Directions to “ MS. LINDA C MARTINEZ LCSW” Practice Location

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