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General NPI Number Information
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NPI Number | 1184207383
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Entity Type | Individual
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Provider Name | BELKIS Y MARTINEZ PHD
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Gender | Female
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 630 W 168TH ST PH 1540H
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City | NEW YORK
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State | NY
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Zip | 10032-3725
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Country | US
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Telephone | 646-238-9393
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Fax |
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Provider Business Mailing Address
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Address Line | 2133 32ND ST APT 2
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City | ASTORIA
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State | NY
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Zip | 11105-2301
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Country | US
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Telephone | 646-238-9393
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P02562
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 68-P125283-01
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 026818
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License Number State | NY
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