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Physician Compare National (NPI:1033197702)

HEALTHCARE PROVIDER: MIGUEL F MARTINEZ DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1033197702
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5294924429
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110104000737
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MARTINEZ
Individual professional last name
Provider First Name MIGUEL
Individual professional first name
Provider Middle Name F
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name NEW YORK CHIROPRACTIC COLLEGE
Individual professional's medical school
Graduation Year 1995
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 205 -07 HILLSIDE AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 19
Group Practice or individual's line 2 address
City HOLLIS
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 114232220
Group Practice or individual's zip code (9 digits when available)
Phone Number 7184681234
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment M

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