Martin, Angelique

Martin, Angelique is an sole proprietor health care provider with primary practice located at 2035 Ralph Ave Suite C, Brooklyn NY 11234-5300. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietary Manager, Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Nutrition, Metabolic is her primary health care specialty. Martin, Angelique can be contacted via phone (646) 752-9842.

Contact Information

Primary practice address
2035 Ralph Ave Suite C Brooklyn NY 11234-5300
Phone: (646) 752-9842
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietary Manager 132700000X 189769 New York
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 005623-1 New York
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 005623-1 New York

Profile Details

NPI number 1922009034
LBN Legal business name Martin, Angelique
Credentials R.D, C.D.N
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2005
Last updated Mar 27th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922009034 NPPES
New York Other 155835P HIP
New York Other 182870 HIP
New York Other P3105474 HIP
New York Other P3105806 HIP
New York Other 2579429 HIP
New York Other 9607811 HIP
New York Other 8099800 HIP

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