Individual ProviderEillen Daniela MartinezStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address177 Fort Washington Ave, New York, NY 10032(212) 305-2500(407) 341-5723PECOS EnrollmentBased on the most recent information from CMS, provider Eillen Daniela Martinez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1881414340Provider TypeIndividualFull NameMartinez, Eillen DanielaGenderFemaleSole ProprietorNoEnumeration Date10/10/2024Last Updated10/10/2024Contact InformationPractice LocationPractice Address177 Fort Washington Ave, New York, NY 10032Phone(212) 305-2500FaxUnlisted FaxMailing LocationMailing Address561 W 163rd St, Apt 5d, New York, NY 10032Phone(407) 341-5723FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer