Carmen Iris Martinez Sergio, M.S., L.AC., DIPL.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

3006 Issued in NY

Practice address

26715 83Rd Ave
Floral Park, NY 11004-1733

Phone

(516) 642-5762

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Iris Sergio Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1093837189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26715 83RD AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041733",
            "telephone_number": "516-642-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26715 83RD AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041733",
            "telephone_number": "516-642-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ SERGIO",
        "first_name": "CARMEN",
        "middle_name": "IRIS",
        "credential": "M.S., L.AC., DIPL.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "3006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRIS",
            "last_name": "SERGIO",
            "credential": "M.S., L.AC.,DIPL.AC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Acupuncturist in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.