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Jacquelyn Martin
Student in an Organized Health Care Education/Training Program in Deer Park, New York
NPI 1083012868

Jacquelyn Martin is a Student in an Organized Health Care Education/Training Program based in Huntington Station, NY. Jacquelyn Martin practices in Deer Park, NY. The NPI Number for Jacquelyn Martin is 1083012868 and holds a License No. 7547-8131 (New York).

The current practice location address for Jacquelyn Martin is 1 Brandywine Dr, Deer Park, NY and can be reached out via phone at 631-392-0081.

Location: 1 Brandywine Dr, Deer Park, NY, 11746-2643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083012868
Provider Name
Jacquelyn Martin
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Brandywine Dr, Deer Park, NY, 11746-2643
Phone Number
631-392-0081
Fax Number
Provider Enumeration Date
12/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Brandywine Dr
City
Deer Park
State
New York
Zip
11729-5721
Phone Number
631-392-0081
Fax Number
person
Provider Business Mailing Address Details
Address
1 Brandywine Dr
City
Deer Park
State
New York
Zip
11729-5721
Phone Number
631-392-0081
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
7547-8131 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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