MEDICARE: CARLOS MARTINEZ MSED

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
1	103K00000X	Behavior Analyst	754704	NY

General Provider Information

NPI Number	:	1710265962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS MARTINEZ MSED

Provider Business Mailing Address
First Line	:	2180 WALLACE AVE
Second Line	:	APT 3C
City	:	BRONX
State	:	NY
Zip	:	10462-1860
Country	:	US
Telephone Number	:	718-822-0127
Fax Number	:

Provider Business Practice Location Address
First Line	:	369 E 148TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-4041
Country	:	US
Telephone Number	:	718-769-2698
Fax Number	:	718-764-6469

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2011
Last Update Date	:	09/30/2012

Similar Medicare Providers

1205996204 — ADOL PARNT INWOOD HS TS
Practice Location Address:

369 E 148TH ST
BRONX, NY
10455-4041

Practice Phone: 718-742-8100
Practice Fax: 718-742-8099

1861637530 — TYESHA J STOREY LMSW
Practice Location Address:

369 E 148TH ST
BRONX, NY
10455-4041

Practice Phone: 718-585-2153
Practice Fax:

1003115791 — KATHERINE CANONICO M.S., CCC-SLP, TSSLD
Practice Location Address:

369 E 148TH ST , LOWER LEVEL
BRONX, NY
10455-4041

Practice Phone: 718-769-2698
Practice Fax: 718-769-2317

1689935629 — MARIA JIMENEZ
Practice Location Address:

369 E 148TH ST , BASEMENT
BRONX, NY
10455-4041

Practice Phone: 718-269-2698
Practice Fax: 718-292-0159

1013279611 — MS. ANASTASIA JOZWIK LMSW, CASAC
Practice Location Address:

369 E 148TH ST
BRONX, NY
10455-4041

Practice Phone: 718-769-2698
Practice Fax:

1053674572 — DEMARIS GOMEZ
Practice Location Address:

369 E 148TH ST
BRONX, NY
10455-4041

Practice Phone: 718-769-2698
Practice Fax:

Directions to “ CARLOS MARTINEZ MSED” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.