Doctor Name: | MS. KARENA YVONNE MARTIN |
NPI Number: | 1023316478 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 017773 |
Business Practice Address: | 4487 3rd Ave St. Barnabas Hospital, Ambulatory Clinic Bronx, NY - 104571526 |
Business Phone Number: | 7189606646 |
Business Fax Number: | 7189609479 |
Mailing Address: | 23307 118th Ave, CAMBRIA HEIGHTS |
State: | NY |
Postal Code: | 114111839 |
Phone Number: | 7185285407 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2011 |
NPI Last Update Date: | 03/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 017773 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |