Ellie Elisa Martinez | Brooklyn, NY • PECOS Search

Ellie Elisa Martinez

Social Worker

Behavioral Health & Social Service Providers

217 Havemeyer St, 4th Floor, Brooklyn, NY 11211-6277

(718) 963-4430 (718) 710-6671

PECOS Enrollment

Based on the most recent information from CMS, provider Ellie Elisa Martinez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1841478260
Provider Type
Individual
Full Name
Martinez, Ellie Elisa
Title
Ms.
Credential
MSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/7/2008
Last Updated
2/7/2008

Contact Information

Practice Location

217 Havemeyer St, 4th Floor, Brooklyn, NY 11211-6277

Unlisted Fax

Mailing Location

2820 Middletown Rd, 16, Bronx, NY 10461-5341

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer