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NPI Code Detail

MEDICARE: MARCELLA MARTINELLI

MEDICARE:   MARCELLA  MARTINELLI
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
1175T00000XPeer SpecialistNY

General Provider Information

NPI Number : 1700684651
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCELLA MARTINELLI
Provider Business Mailing Address
First Line : 2258 85TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-3306
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2460 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5013
Country : US
Telephone Number : 718-845-2621
Fax Number : 718-845-2622
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2025
Last Update Date : 03/06/2025

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Directions to “ MARCELLA MARTINELLI ” Practice Location

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