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General NPI Number Information
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NPI Number | 1407569262
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Entity Type | Individual
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Provider Name | ELISA BEATRIZ MARTINEZ NP
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Gender | Female
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Dates
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Enumeration Date | 12/26/2022
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 505 E 70TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-4872
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Country | US
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Telephone | 212-746-2900
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Fax | 212-746-4609
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Provider Business Mailing Address
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Address Line | 46 SYCAMORE RD
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City | JERSEY CITY
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State | NJ
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Zip | 07305-1238
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Country | US
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Telephone | 973-392-9351
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ01402200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F353815
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License Number State | NY
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