Provider Demographics
NPI:1992530208
Name:MARTINEZ RAMIREZ, ISABEL PRISCILLA
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:PRISCILLA
Last Name:MARTINEZ RAMIREZ
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 1:280 WEST ST APT 4B
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3340
Mailing Address - Country:US
Mailing Address - Phone:914-338-3083
Mailing Address - Fax:
Practice Address - Street 1:50 HAMILTON ST STE 9
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-2863
Practice Address - Country:US
Practice Address - Phone:914-306-0863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY58-P130820-01235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist