Provider Demographics
NPI:1750640835
Name:MARTINEZ, SABRINA M
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:M
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8717 97TH AVE
Mailing Address - Street 2:APT 3F
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11416-1331
Mailing Address - Country:US
Mailing Address - Phone:718-916-2771
Mailing Address - Fax:
Practice Address - Street 1:8717 97TH AVE
Practice Address - Street 2:APT 3F
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11416-1331
Practice Address - Country:US
Practice Address - Phone:718-916-2771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-10
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator