Jessica Martinez

NPI #1376064865 in Woodside, New York

Provider Information

NPI Number: 1376064865
Entity Type: Individual
Name: Jessica Martinez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jul 5, 2017
Last Updated: Jul 5, 2017

Practice Location

Address: 3138 60TH ST
City: Woodside
State: New York
ZIP Code: 11377-1221
Phone: (917) 674-6496

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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