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NPI Code Detail

MEDICARE: ARIEL MARIE MARTINEZ

MEDICARE:   ARIEL MARIE 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
1235Z00000XSpeech-Language Pathologist14177791NY

General Provider Information

NPI Number : 1396256145
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIEL MARIE MARTINEZ
Provider Business Mailing Address
First Line : 209 YORK ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-1509
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 209 YORK ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-1509
Country : US
Telephone Number : 718-834-4748
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2017
Last Update Date : 09/14/2021

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Directions to “ ARIEL MARIE MARTINEZ ” Practice Location

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