Provider Demographics
NPI:1346361532
Name:MARTIR, ALMA (MS,PT,)
Entity Type:Individual
Prefix:MS
First Name:ALMA
Middle Name:
Last Name:MARTIR
Suffix:
Gender:F
Credentials:MS,PT,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 W 96TH ST
Mailing Address - Street 2:SUITE 1G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6607
Mailing Address - Country:US
Mailing Address - Phone:212-663-4624
Mailing Address - Fax:212-663-4622
Practice Address - Street 1:27 W 96TH ST
Practice Address - Street 2:SUITE 1G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6607
Practice Address - Country:US
Practice Address - Phone:212-663-4624
Practice Address - Fax:212-663-4622
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010438225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ33613Medicare ID - Type UnspecifiedPHYSICAL THERAPY PROVIDER