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Sandra Milena Martinez

Technician/Technologist, Optician in Corona, NY. Individual provider (NPI-1).

NPI number1073288148
StatusActive
Last updated in NPPESJun 9, 2025

Details

NPI
1073288148
Entity type
Individual (NPI-1)
Name
Sandra Milena Martinez
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 11, 2021
Certification date
Jun 9, 2025
Last updated
Jun 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician010173NYYes

Practice location

10445 Alstyne Ave
Corona, NY 11368-3128

Phone 718-503-2349 · Fax 929-437-2022

Mailing address

10445 Alstyne Ave
Corona, NY 11368-3128

Phone 718-503-2349 · Fax 929-437-2022

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