Provider Demographics
NPI:1033917455
Name:MARTE, JENITZA M
Entity type:Individual
Prefix:
First Name:JENITZA
Middle Name:M
Last Name:MARTE
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 1:692 KIMBALL AVE PH
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-1529
Mailing Address - Country:US
Mailing Address - Phone:646-316-9830
Mailing Address - Fax:
Practice Address - Street 1:692 KIMBALL AVE PH
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-1529
Practice Address - Country:US
Practice Address - Phone:646-316-9830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator