Individual
DR. DEAN R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2035 RALPH AVENUE, SUITE C, BROOKLYN, NY 11234
(718) 968-2059
(718) 968-2642
Mailing address
2035 RALPH AVENUE, SUITE C, BROOKLYN, NY 11234
(718) 968-2059
(718) 968-2642
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1992171
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01750036
—
NY
Enumeration date
09/19/2006
Last updated
07/08/2007
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