DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELYN MARTIN

Active

Student (Health Education/Training) · DEER PARK, NY

Registration Details

NPI Number
1083012868
Provider Type
Individual
Gender
Female
NPI Issued
Dec 10, 2014 (11.36585865529 yrs)
Last Updated
Dec 10, 2014
License
7547-8131 (NY)

Practice Information

Address
1 BRANDYWINE DR
DEER PARK, NY, 117295721
Browse NY providers · Browse ZIP 11729
Phone
6313920081
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in DEER PARK, NY

Name Credential NPI
FELICIA M LASORSA MS 1043826712
MOLLIE ANN ROONEY 1003559782
TIFFANY J SMALL 1083305221
JENNIFER TERESA DELGATTO 1306677976
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.