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NPI Code Detail

MEDICARE: MISS NANCY MARTINEZ MS, SLP

MEDICARE:  MISS NANCY  MARTINEZ  MS, 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
1235Z00000XSpeech-Language Pathologist008365-1NY

General Provider Information

NPI Number : 1982738084
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS NANCY MARTINEZ MS, SLP
Provider Business Mailing Address
First Line : 170 DREISER LOOP
Second Line : APT. 23B
City : BRONX
State : NY
Zip : 10475-1902
Country : US
Telephone Number : 718-320-2525
Fax Number :
Provider Business Practice Location Address
First Line : 1770 STILLWELL AVE
Second Line :
City : BRONX
State : NY
Zip : 10469-6409
Country : US
Telephone Number : 718-652-9790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/08/2007

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Directions to “ MISS NANCY MARTINEZ MS, SLP” Practice Location

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