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Individual

ANDREW MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1090 AMSTERDAM AVE, SUITE 17 NORTH 13, NEW YORK, NY 10025-1737
(513) 307-3192
Mailing address
515 W 59TH ST APT 30P, NEW YORK, NY 10019-1031
(212) 523-9480

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
264463-1
NY

Other

Enumeration date
04/09/2009
Last updated
07/12/2012
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