Individual provider · Type 1 NPI
Loren Martinez, PA
Medical Physician Assistant · Woodside, NY
NPI number
1225563166
Active
Practice location
6506 Roosevelt Ave
Woodside, NY 11377-2928
Fax (718) 639-3605
Mailing address
5301 66th St
Maspeth, NY 11378-1734
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in Woodside
About NPI 1225563166
Loren Martinez, PA's National Provider Identifier is 1225563166, issued on Apr 28, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Woodside, NY. The record was last updated on Jan 20, 2022.