Davila-Martinez, Mariel

Davila-Martinez, Mariel is an individual health care provider with primary practice located at 2655 Ridgeway Ave Suite 420, Rochester NY 14626-4296. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Davila-Martinez, Mariel can be contacted via phone (585) 723-7972.

Contact Information

Primary practice address
2655 Ridgeway Ave Suite 420 Rochester NY 14626-4296
Phone: (585) 723-7972
Fax: (585) 368-3119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 279321 New York
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 279321 New York

Profile Details

NPI number 1932493244
LBN Legal business name Davila-Martinez, Mariel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2011
Last updated Apr 20th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932493244 NPPES
New York MEDICAID 04499372
New York Other P01790959

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