| Doctor Name: | AWILDA MARTE |
| NPI Number: | 1215212808 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 14-45 143 Street Room 210 Whitestone School For Child Development Whitestone, NY - 11357 |
| Business Phone Number: | 7187466555 |
| Business Fax Number: | |
| Mailing Address: | 124 Elliot Pl, #3e BRONX |
| State: | NY |
| Postal Code: | 104527278 |
| Phone Number: | 9172926699 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2011 |
| NPI Last Update Date: | 10/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |