Provider Demographics
NPI:1053502567
Name:MARTINEZ, OFELIA (MD)
Entity Type:Individual
Prefix:DR
First Name:OFELIA
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1879 MADISON AVENUE
Mailing Address - Street 2:NORTH GENERAL HOSPITAL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035
Mailing Address - Country:US
Mailing Address - Phone:212-423-4500
Mailing Address - Fax:212-423-1536
Practice Address - Street 1:1879 MADISON AVENUE
Practice Address - Street 2:NORTH GENERAL HOSPITAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035
Practice Address - Country:US
Practice Address - Phone:212-423-4500
Practice Address - Fax:212-423-1536
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238864-1207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine