Provider Demographics
NPI:1699844027
Name:MUNIER-MARTIN, DENICE (DC)
Entity Type:Individual
Prefix:DR
First Name:DENICE
Middle Name:
Last Name:MUNIER-MARTIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 ULSTER AVE
Mailing Address - Street 2:
Mailing Address - City:SAUGERTIES
Mailing Address - State:NY
Mailing Address - Zip Code:12477-1212
Mailing Address - Country:US
Mailing Address - Phone:845-246-3642
Mailing Address - Fax:845-246-1612
Practice Address - Street 1:25 ULSTER AVE
Practice Address - Street 2:
Practice Address - City:SAUGERTIES
Practice Address - State:NY
Practice Address - Zip Code:12477-1212
Practice Address - Country:US
Practice Address - Phone:845-246-3642
Practice Address - Fax:845-246-1612
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8492111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX5N731Medicare ID - Type Unspecified