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NPI Code Detail

MEDICARE: DEBRA ANNE BOYCE-MARTINEZ

MEDICARE: DEBRA ANNE BOYCE-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
11041C0700XClinical Social Worker074387-1NY

General Provider Information

NPI Number : 1306897608
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA ANNE BOYCE-MARTINEZ
Provider Business Mailing Address
First Line : 3509 FILLMORE AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-4831
Country : US
Telephone Number : 718-833-6633
Fax Number :
Provider Business Practice Location Address
First Line : 260 68TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-5201
Country : US
Telephone Number : 718-833-6633
Fax Number : 718-238-4748
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 07/08/2007

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Directions to “ DEBRA ANNE BOYCE-MARTINEZ ” Practice Location

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