Provider Demographics
NPI:1124190384
Name:MARTINEZ, CHARLES MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:MICHAEL
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:48 DECATUR ROAD
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5701
Mailing Address - Country:US
Mailing Address - Phone:914-576-3356
Mailing Address - Fax:718-760-7621
Practice Address - Street 1:1650 GRAND CONCOURSE
Practice Address - Street 2:BRONX LEBANON HOSPITAL CENTER DEPARTMENT OF EMERGENCY M
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-0000
Practice Address - Country:US
Practice Address - Phone:718-960-1400
Practice Address - Fax:718-960-2077
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY16809207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine