Individual provider · Type 1 NPI

Samuel Martin

Licensed Practical Nurse · Bronx, NY

NPI number 1083085302 Active

Practice location

2052 Tillotson Ave
Bronx, NY 10475-1560

Call (718) 671-2100 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X277824 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1083085302

Samuel Martin's National Provider Identifier is 1083085302, issued on Oct 13, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bronx, NY. The record was last updated on Oct 13, 2015.