Provider Demographics
NPI:1518262336
Name:MARTINS, STEPHANIE A (PT)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:A
Last Name:MARTINS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 E 86TH ST
Mailing Address - Street 2:SUITE 1GW
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-4702
Mailing Address - Country:US
Mailing Address - Phone:212-534-9393
Mailing Address - Fax:212-534-9397
Practice Address - Street 1:305 E 86TH ST
Practice Address - Street 2:SUITE 1GW
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-4702
Practice Address - Country:US
Practice Address - Phone:212-534-9393
Practice Address - Fax:212-534-9397
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-26
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033352-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist