MEDICARE: DR. TED E MARTYNOWICZ MD

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	207RI0200X	Infectious Disease Physician	OS005485L	PA
2	207RI0200X	Infectious Disease Physician	156171	NY

General Provider Information

NPI Number	:	1922058130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TED E MARTYNOWICZ MD

Provider Business Mailing Address
First Line	:	1543 INWOOD AVE # 1545
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-2001
Country	:	US
Telephone Number	:	855-681-8700
Fax Number	:	718-294-4765

Provider Business Practice Location Address
First Line	:	1543 INWOOD AVE # 1545
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-2001
Country	:	US
Telephone Number	:	855-681-8700
Fax Number	:	718-294-4765

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	04/22/2021

Similar Medicare Providers

1962428904 — ROBERTA MAY KELLY FNP
Practice Location Address:

1543 INWOOD AVE
BRONX, NY
10452-2001

Practice Phone: 718-681-8700
Practice Fax: 718-294-4765

1851480032 — PROJECT SAMARITAN HEALTH SERVICES, INC.
Practice Location Address:

1545 INWOOD AVE
BRONX, NY
10452-2001

Practice Phone: 718-299-5500
Practice Fax: 718-299-7679

1154499390 — MICHELLE A. LATIMER N.P.P.
Practice Location Address:

1545 INWOOD AVE
BRONX, NY
10452-2001

Practice Phone: 718-299-5500
Practice Fax: 718-299-7679

1265597512 — FREDRIC O LEE
Practice Location Address:

1543 INWOOD AVE
BRONX, NY
10452-2001

Practice Phone: 718-681-8700
Practice Fax:

1093862724 — MS. MARISOL MARTINEZ LCSW
Practice Location Address:

1543 INWOOD AVE
BRONX, NY
10452-2001

Practice Phone: 718-681-8700
Practice Fax: 646-380-1322

1336277417 — COLEEN M. JIMENEZ F.N.P.
Practice Location Address:

1543 INWOOD AVE
BRONX, NY
10452-2001

Practice Phone: 718-299-5500
Practice Fax: 718-299-7679

Directions to “ DR. TED E MARTYNOWICZ MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.