1164702916 NPI number — BRENDA J. MARTIN LMT, CCA

Table of content: BRENDA J. MARTIN LMT, CCA (NPI 1164702916)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164702916 NPI number — BRENDA J. MARTIN LMT, CCA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MARTIN
Provider First Name:
BRENDA
Provider Middle Name:
J.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMT, CCA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164702916
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/25/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1414 ROUTE 82
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANCRAM
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12502-5120
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-702-2066
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7476 S BROADWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RED HOOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12571-1772
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-702-2066
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/25/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225700000X , with the licence number:  016543-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)