# MARTIN NYDICK, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760718357
- **Authorized official:** DR. MARTIN NYDICK M.D. (PRESIDENT)
- **Authorized official phone:** (212) 249-1260

## Contact information

- **Practice address:** 475 E 72ND ST, SUITE L2, NEW YORK, NY 10021-4458
- **Practice address phone:** (212) 249-1260
- **Practice address fax:** (212) 794-3236
- **Mailing address:** 475 E 72ND ST, SUITE L2, NEW YORK, NY 10021-4458
- **Mailing address phone:** (212) 249-1260
- **Mailing address fax:** (212) 794-3236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 081732 | NY | Yes |

## Other

- **Enumeration date:** 11/02/2009
- **Last updated:** 02/25/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00118929 | — | NY |