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NPI Code Detail

MEDICARE: ESTEFANO GARCIA MARTINEZ

MEDICARE: ESTEFANO GARCIA MARTINEZ
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
1101YA0400XAddiction (Substance Use Disorder) Counselor41962NY

General Provider Information

NPI Number : 1194672253
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTEFANO GARCIA MARTINEZ
Provider Business Mailing Address
First Line : 1249 5TH AVE FL 4
Second Line :
City : NEW YORK
State : NY
Zip : 10029-4413
Country : US
Telephone Number : 718-514-6007
Fax Number :
Provider Business Practice Location Address
First Line : 1249 5TH AVE FL 4
Second Line :
City : NEW YORK
State : NY
Zip : 10029-4413
Country : US
Telephone Number : 718-514-6007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ ESTEFANO GARCIA MARTINEZ ” Practice Location

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