Martinez, Altagracia

Martinez, Altagracia is an individual health care provider with primary practice located at 9729 64Th Rd , Rego Park NY 11374-2259. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martinez, Altagracia can be contacted via phone (718) 896-3400.

Contact Information

Primary practice address
9729 64Th Rd Rego Park NY 11374-2259
Phone: (718) 896-3400
Fax: (718) 459-5621
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1760721088
LBN Legal business name Martinez, Altagracia
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2013
Last updated Feb 6th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760721088 NPPES
New York MEDICAID 00244019

Popular Providers