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NPI Code Detail

MEDICARE: VANESSA ANNE MARTINEZ

MEDICARE: VANESSA ANNE 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
1163W00000XRegistered Nurse608647NY

General Provider Information

NPI Number : 1598608127
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA ANNE MARTINEZ
Provider Business Mailing Address
First Line : 4900 BROAD RD
Second Line :
City : SYRACUSE
State : NY
Zip : 13215-2265
Country : US
Telephone Number : 315-492-5011
Fax Number :
Provider Business Practice Location Address
First Line : 4900 BROAD RD
Second Line :
City : SYRACUSE
State : NY
Zip : 13215-2265
Country : US
Telephone Number : 315-492-5011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ VANESSA ANNE MARTINEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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