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NPI Code Detail

MEDICARE: MRS. HELEN CATHERINE MARTINETTI M.A.,C.C.C.

MEDICARE: MRS. HELEN CATHERINE MARTINETTI M.A.,C.C.C.
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 Pathologist004112NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1M13131OTHERNYEMPIRE BC/BS
20096400OTHERNYAETNA/US HEALTHCARE
325885OTHERNYUNITED HEALTHCARE
40C4526OTHERNYHEALTHNET
5CS146OTHERNYOXFORD
62813OTHERNYVYTRA

General Provider Information

NPI Number : 1558354779
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HELEN CATHERINE MARTINETTI M.A.,C.C.C.
Provider Business Mailing Address
First Line : 5225 NESCONSET HWY
Second Line : SUITE 10
City : PORT JEFFERSON STATION
State : NY
Zip : 11776-2053
Country : US
Telephone Number : 631-331-1888
Fax Number : 631-331-4724
Provider Business Practice Location Address
First Line : 5225 NESCONSET HWY
Second Line : SUITE 10
City : PORT JEFFERSON STATION
State : NY
Zip : 11776-2053
Country : US
Telephone Number : 631-331-1888
Fax Number : 631-331-4724
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. HELEN CATHERINE MARTINETTI M.A.,C.C.C.” Practice Location

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