Provider Demographics
NPI:1003357989
Name:MARTINA E. SCHMIDT LLC
Entity Type:Organization
Organization Name:MARTINA E. SCHMIDT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTINA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:516-358-2737
Mailing Address - Street 1:54 HURON RD
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11001-4009
Mailing Address - Country:US
Mailing Address - Phone:516-902-8258
Mailing Address - Fax:516-358-2737
Practice Address - Street 1:54 HURON RD
Practice Address - Street 2:
Practice Address - City:BELLEROSE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11001-4009
Practice Address - Country:US
Practice Address - Phone:516-902-8258
Practice Address - Fax:516-358-2737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013933-1252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency