Individual provider · Type 1 NPI
Paige Martinez
Psychiatric/Mental Health Nurse Practitioner · Port Jefferson, NY
NPI number
1780372805
Active
Practice location
75 N Country Rd
Port Jefferson, NY 11777-2119
Mailing address
8 Old Orchard Ln
Ridge, NY 11961-2606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 765509 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 405097 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
340 other providers at this address
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Other psychiatric/mental health nurse practitioner providers in Port Jefferson
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About NPI 1780372805
Paige Martinez's National Provider Identifier is 1780372805, issued on Apr 26, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Port Jefferson, NY. The record was last updated on Feb 18, 2026.