Jacquelyn Martin
Jacquelyn Martin is a Student in an Organized Health Care Education/Training Program in Deer Park, New York. Licensed in New York. Registered with an NPI since 2014.
- Licensed in
- NY
- In the registry since
- 2014
Practice location Address checks out
1 Brandywine DrDeer Park, NY 11729-5721
Phone: (631) 392-0081
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 7547-8131 (NY) |
|---|
Record details
| NPI number | 1083012868 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 10, 2014 |
| Last updated in NPPES | December 10, 2014 |
| Mailing address | 344 Lenox Rd, Huntington Station, NY 11746-2643 |
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