Angelique Martin in Brooklyn - Nutrition, Metabolic

Angelique Martin - NPI 1922009034

Angelique Martin is a Nutrition, Metabolic in Brooklyn, New York. Angelique Martin practices all healthcare services and medical treatments related to Nutrition, Metabolic. The NPI Number for Angelique Martin is 1922009034. The last update date is 2020-03-27.

Angelique Martin's current location address is 2035 Ralph Ave, Brooklyn, New York. You can contact this provider via phone number 6467529842. The mailing address for Angelique Martin is 2035 Ralph Ave, Brooklyn, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Angelique Martin
Address 2035 Ralph Ave, Brooklyn, New York
Phone Number 6467529842
Fax Number
Sole Proprietor Y
Credentials R.D, C.D.N

NPI Number Detail

NPI Number 1922009034
Provider Enumeration Date 2005-08-10
Last Updated Date 2020-03-27

Provider Mailing Address Detail

Address 2035 Ralph Ave
City Brooklyn
State New York (NY)
Post Code 112345300
Phone Number 6467529842
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nutrition, Metabolic
Taxonomy 133Vn1006X
Licence No 005623-1
Definition:
A dietitian who specializes in metabolic and nutritional disorders.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
155835P NY HIP
182870 NY ELDERPLAN
P3105474 NY OXFORD
P3105806 NY OXFORD
2579429 NY UNITED HEALTHCARE
9607811 NY CIGNA
8099800 NY GHI

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FAQs about Angelique Martin

What is the unique identification code assigned to Angelique Martin by the Centers for Medicare & Medicaid Services?

The Angelique Martin has been issued the NPI (National Provider Identifier) 1922009034. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Angelique Martin is located?

The Angelique Martin is situated at the following address: 2035 Ralph Ave, Brooklyn, NY, 112345300.

What is the area of specialization for Angelique Martin, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Angelique Martin is Nutrition, Metabolic, and the corresponding taxonomy code that categorizes this area of expertise is 133Vn1006X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1922009034 to Angelique Martin?

The Centers for Medicare & Medicaid Services originally issued the 1922009034 to Angelique Martin on 2005-08-10.

When was the Angelique Martin's information last updated?

The Angelique Martin's information was last updated on 2020-03-27.

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