Martinez, Olivia Camille

Martinez, Olivia Camille is an individual health care provider with primary practice located at 250 Delaware Ave Ste 100 , Delmar NY 12054-1402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Martinez, Olivia Camille can be contacted via phone (518) 439-8077.

Contact Information

Primary practice address
250 Delaware Ave Ste 100 Delmar NY 12054-1402
Fax: (518) 439-8070
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 348011 New York

Profile Details

NPI number 1174297709
LBN Legal business name Martinez, Olivia Camille
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2021
Last updated Oct 2nd, 2023 - about 2 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 1174297709 NPPES
New York MEDICAID 06799664

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