Martin Martinicky
Martin Martinicky is a Nurse Practitioner in Jericho, New York. Qualified in 2023, 3 years ago. Licensed in New York.
- Years since qualifying
- 3
- Licensed in
- NY
- In the registry since
- 2023
Practice location Address checks out
61 Jericho TpkeJericho, NY 11753-1051
Phone: (516) 544-8899
Fax: (516) 362-3939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 432741 (NY) |
|---|
Record details
| NPI number | 1417630302 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 8, 2023 |
| Last updated in NPPES | August 8, 2023 |
| Certification date | June 2, 2021 |
| Mailing address | 9972 66th Rd Apt 7d, Rego Park, NY 11374-4443 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |