SHATASHA MARTIN

BRONX, NY
NPI1679070916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  F348548)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NY  746738)
Enumeration Date2018-04-12
Last Update Date2022-03-28
Business Address
SHATASHA MARTIN
801 E 241ST ST
BRONX, NY 10470-1303
Phone number: 718-671-2100
Mailing Address
SHATASHA MARTIN
3400 BAINBRIDGE AVE FL 5
BRONX, NY 10467-2404
Phone number: 718-920-5864