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NPI Code Detail

MEDICARE: MS. JANET A. MARTINEZ LMSW

MEDICARE:  MS. JANET A. MARTINEZ  LMSW
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
1101YM0800XMental Health Counselor
2104100000XSocial Worker077084-1NY

General Provider Information

NPI Number : 1730400490
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANET A. MARTINEZ LMSW
Provider Business Mailing Address
First Line : 49 GUERNSEY DR
Second Line :
City : NEW WINDSOR
State : NY
Zip : 12553-8049
Country : US
Telephone Number : 917-345-9604
Fax Number :
Provider Business Practice Location Address
First Line : 375 ROUTE 32
Second Line :
City : CENTRAL VALLEY
State : NY
Zip : 10917-3201
Country : US
Telephone Number : 917-345-9604
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2010
Last Update Date : 06/17/2010

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Directions to “ MS. JANET A. MARTINEZ LMSW” Practice Location

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