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NPI Code Detail

MEDICARE: MR. ISRAEL MARTINEZ LMSW

MEDICARE: MR. ISRAEL MARTINEZ LMSW
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
1104100000XSocial Worker077680-1NY

General Provider Information

NPI Number : 1902139140
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ISRAEL MARTINEZ LMSW
Provider Business Mailing Address
First Line : 1285 ROCKAWAY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-2330
Country : US
Telephone Number : 718-257-3195
Fax Number : 718-257-5570
Provider Business Practice Location Address
First Line : 1285 ROCKAWAY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-2330
Country : US
Telephone Number : 718-257-3195
Fax Number : 718-257-5570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2009
Last Update Date : 09/04/2009

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Directions to “ MR. ISRAEL MARTINEZ LMSW” Practice Location

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