Provider Demographics
NPI:1538910039
Name:ISLAM-MARTINEZ, NADIA
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:ISLAM-MARTINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 E MAIN ST STE 102
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-2654
Mailing Address - Country:US
Mailing Address - Phone:845-394-0080
Mailing Address - Fax:
Practice Address - Street 1:9 SOUTHGATE RD APT 5
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-2041
Practice Address - Country:US
Practice Address - Phone:347-592-7956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator