Provider Demographics
NPI:1871149492
Name:MARTINEZ, SYLVIA M (MA, ATR-BC, LCAT)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:M
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MA, ATR-BC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 W 12TH ST APT 1E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8520
Mailing Address - Country:US
Mailing Address - Phone:718-350-1088
Mailing Address - Fax:
Practice Address - Street 1:59 W 12TH ST APT 1E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8520
Practice Address - Country:US
Practice Address - Phone:718-350-1088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-11
Last Update Date:2024-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001127221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist