Individual provider · Type 1 NPI
Shannon Victoria Martinez
Specialist · Glendale, NY
NPI number
1457764268
Active
Practice location
7818 81st St
Glendale, NY 11385-7633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1457764268
Shannon Victoria Martinez's National Provider Identifier is 1457764268, issued on Jun 9, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Glendale, NY. The record was last updated on Jun 9, 2014.