Individual provider · Type 1 NPI
Dominique Eboniece Martinez, FNP-BC
Family Nurse Practitioner · Glendale, NY
NPI number
1225713829
Active
Practice location
6414 Myrtle Ave
Glendale, NY 11385-6203
Fax (866) 221-0879
Mailing address
PO Box 211226
Woodhaven, NY 11421-6226
Other practice locations
- 3709 Flatlands Ave, Brooklyn, NY 11234-3507 · (718) 444-7766
- 21534 Devonshire St Ste I #1049, Chatsworth, CA 91311-2992 · (818) 443-7035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95026260 (CA) |
| Family Nurse Practitioner | 363LF0000X | 2023006023 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 355973 (NY) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1225713829
Dominique Eboniece Martinez, FNP-BC's National Provider Identifier is 1225713829, issued on Jun 20, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Glendale, NY. The record was last updated on Mar 4, 2026.