Most Relevant Information
Provider Data
| NPI Number: | 1003240060 |
| Provider Name: | GRIMALDI MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/27/2013 |
| Last Updated: | 08/27/2013 |
Provider Practice Location
2020 CONEY ISLAND AVE
BROOKLYN
NY
112232329
Practice Location Phone/Fax
| Phone: | 7186764211 |
| Fax: |
Provider Mailing Location
7967 68TH RD
2
MIDDLE VILLAGE
NY
113792949
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |