Martin, Angelique
Martin, Angelique is an sole proprietor health care provider with primary practice located at 2035 Ralph Ave Suite C, Brooklyn NY 11234-5300. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietary Manager, Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Nutrition, Metabolic is her primary health care specialty. Martin, Angelique can be contacted via phone (646) 752-9842.Contact Information
Primary practice address
2035 Ralph Ave Suite C
Brooklyn NY 11234-5300
Phone: (646) 752-9842
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietary Manager | 132700000X | 189769 | New York |
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 005623-1 | New York |
Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | 005623-1 | New York |
Profile Details
NPI number | 1922009034 |
---|---|
LBN Legal business name | Martin, Angelique |
Credentials | R.D, C.D.N |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 10th, 2005 |
Last updated | Mar 27th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922009034 | NPPES |
New York | Other | 155835P | HIP |
New York | Other | 182870 | HIP |
New York | Other | P3105474 | HIP |
New York | Other | P3105806 | HIP |
New York | Other | 2579429 | HIP |
New York | Other | 9607811 | HIP |
New York | Other | 8099800 | HIP |
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