Jacquelyn Martin is a student in an organized health care education training program in Deer Park, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jacquelyn Martin NPI is 1083012868. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1 BRANDYWINE DR
DEER PARK, NY
ZIP 11729-721
Phone: (631) 392-0081
The enumeration date for this NPI number is 12/10/2014 and was last updated on 12/10/2014.