Provider Demographics
NPI:1164391223
Name:MARTINS, OLUBANKE (MHC-LP)
Entity type:Individual
Prefix:
First Name:OLUBANKE
Middle Name:
Last Name:MARTINS
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1065 STEWART AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-3637
Mailing Address - Country:US
Mailing Address - Phone:516-520-6600
Mailing Address - Fax:
Practice Address - Street 1:1065 STEWART AVE STE 101
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-3637
Practice Address - Country:US
Practice Address - Phone:516-520-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health