Provider Demographics
NPI:1033545942
Name:SALES, MARTA (NP)
Entity Type:Individual
Prefix:
First Name:MARTA
Middle Name:
Last Name:SALES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 EAST 12TH ST. SUITE 202
Mailing Address - Street 2:PRIME QUALITY MEDICAL CARE, PC
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229
Mailing Address - Country:US
Mailing Address - Phone:718-265-5858
Mailing Address - Fax:
Practice Address - Street 1:1725 EAST 12TH ST. SUITE 202
Practice Address - Street 2:PRIME QUALITY MEDICAL CARE, PC
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229
Practice Address - Country:US
Practice Address - Phone:718-265-5858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF337729-1363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care