Individual
DR. DIANE MARTIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 RIVERSIDE BLVD, APT 10 M, NEW YORK, NY 10069-0701
(212) 769-2207
Mailing address
160 RIVERSIDE BLVD, APT 10 M, NEW YORK, NY 10069-0701
(212) 769-2207
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
159251
NY
207R00000X
Internal Medicine Physician
MA045328
NJ
207R00000X
Internal Medicine Physician
ME69172
FL
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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