JACQUELYN MARTIN

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1083012868

Practice Address

1 BRANDYWINE DR
Deer Park, NY 11729

Phone: (631) 392-0081

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes 7547-8131 (NY)

Frequently Asked Questions

NPI 1083012868 is the National Provider Identifier for JACQUELYN MARTIN, a Student in an Organized Health Care Education/Training Program provider located in Deer Park, NY. This NPI was enumerated on December 10, 2014.
JACQUELYN MARTIN practices at 1 BRANDYWINE DR, Deer Park, NY 11729.

Quick Facts

NPI
1083012868
Type
Individual
Enumerated
Dec 10, 2014
Last Updated
Dec 10, 2014

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