Wanda I Martinez, NP | |
318 Knickerbocker Ave, Brooklyn, NY 11237-3888 | |
(718) 765-6056 | |
(347) 803-1874 |
Full Name | Wanda I Martinez |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 318 Knickerbocker Ave, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447540885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | F310949-01 (New York) | Primary |
Entity Name | Griffin Myers Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780209445 PECOS PAC ID: 5294145017 Enrollment ID: O20201106001359 |
Mailing Address | Practice Location Address |
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Wanda I Martinez, NP Po Box 740020, Atlanta, GA 30374-0020 Ph: (312) 733-9730 | Wanda I Martinez, NP 318 Knickerbocker Ave, Brooklyn, NY 11237-3888 Ph: (718) 765-6056 |
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