MEDICARE: NATALIE MARTINEZ SLP

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1699025544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE MARTINEZ SLP

Provider Business Mailing Address
First Line	:	3990 HILLMAN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-3002
Country	:	US
Telephone Number	:	718-548-3675
Fax Number	:

Provider Business Practice Location Address
First Line	:	3990 HILLMAN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-3002
Country	:	US
Telephone Number	:	718-548-3675
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2012
Last Update Date	:	12/09/2016

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Directions to “ NATALIE MARTINEZ SLP” Practice Location

Language	Start Address	Practice Location

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